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PRIYANKA VAKATI M.D
NPI 1124433024
Pediatrics in Newark, DE

Active since June 30, 2014PECOS Enrolled
4755 OGLETOWN STANTON RD DEPT OF, NEWARK, DE 19718(302) 733-4200(718) 613-8677 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 27, 2017 (2 updates tracked since 2017).

About Priyanka Vakati M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIYANKA VAKATI M.D (NPI 1124433024) is an individual pediatrics provider in Newark, Delaware, licensed in Delaware (C1-0012104) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124433024
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRIYANKA VAKATICredential: M.D
Location Address4755 OGLETOWN STANTON RD DEPT OFNewark, DE 19718-2200
Mailing Address200 Hygeia Dr Ste 2300Newark, DE 19713-2049 · (718) 270-2078 · Fax (718) 613-8677
Phone(302) 733-4200
Fax(718) 613-8677
Sole ProprietorYes
Enumeration DateJune 30, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1124433024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in DE · C1-0012104
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4755 OGLETOWN STANTON RD DEPT OF, Newark, DE 19718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priyanka Vakati M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Priyanka Vakati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tpirc Medical Foundation Inc
2,371 mi
Pediatric Allergy/Immunology
701 E 28TH ST STE 419
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1225611312 (562) 353-5907

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 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Priyanka Vakati's NPI number?

The NPI number for Priyanka Vakati is 1124433024. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Priyanka Vakati located?

Priyanka Vakati practices at 4755 Ogletown Stanton Rd Dept Of, Newark, DE 19718. The listed phone number is (302) 733-4200.

What is Priyanka Vakati's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Priyanka Vakati enrolled in Medicare?

Yes. Priyanka Vakati is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Priyanka Vakati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Vakati reassigns Medicare benefits to Tpirc Medical Foundation Inc (Long Beach, CA). The 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 Priyanka Vakati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Vakati accept?

Health plans from AmeriHealth Caritas Next list Priyanka Vakati 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 Priyanka Vakati was last updated on July 21, 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.