PRIYA PHULWANI MD
NPI 1104020031
Pediatrics - Pediatric Endocrinology in Hartford, CT
About Priya Phulwani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIYA PHULWANI MD (NPI 1104020031) is an individual pediatric endocrinology provider in Hartford, Connecticut, licensed in Connecticut (041833) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Priya Phulwani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Priya Phulwani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 745 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06106
HARTFORD, CT 06106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Priya Phulwani's NPI number?
The NPI number for Priya Phulwani is 1104020031. It was assigned to this individual provider in the NPPES registry on June 13, 2007.
Where is Priya Phulwani located?
Priya Phulwani practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9370.
What is Priya Phulwani's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Priya Phulwani enrolled in Medicare?
Yes. Priya Phulwani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Priya Phulwani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priya Phulwani reassigns Medicare benefits to 4 organizations: Connecticut Children's Specialty Group, Inc. (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Hospital (Hartford, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priya Phulwani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priya Phulwani accept?
Health plans from Anthem Blue Cross and Blue Shield list Priya Phulwani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Priya Phulwani was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Priya Phulwani, MD · NPI 1104020031
Pediatric Endocrinology physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since June 13, 2007.
## Identity
- **NPI:** 1104020031 (Entity type: Individual)
- **Enumerated:** June 13, 2007
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** 041833 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 282 WASHINGTON ST, Hartford, CT 06106-3322
- **Phone:** (860) 545-9370 · **Fax:** (860) 545-9371
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Hartford Hospital (NPI 1407806391, Hartford, CT); The Hospital Of Central Connecticut At New Britain General And Bradley (NPI 1063461481, New Britain, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** April 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104020031) · Data from the CMS NPPES public registry.