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PRIYA BAJAJ PILLAI MD
NPI 1144251240
Obstetrics & Gynecology in Charlotte, NC

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
15110 JOHN J DELANEY DR, STE 100, CHARLOTTE, NC 28277(704) 512-5100 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 47 more (50 updates tracked since 2016).

About Priya Bajaj Pillai Md NPPES

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

PRIYA BAJAJ PILLAI MD (NPI 1144251240) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (200000007) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1144251240
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePRIYA BAJAJ PILLAICredential: MD
Location Address15110 JOHN J DELANEY DR, STE 100Charlotte, NC 28277-3544
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 512-5100
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1994
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 15, 202450 updates tracked since enumeration
✔ NPI 1144251240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 200000007
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
15110 JOHN J DELANEY DR, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Locations 4

Location 17810 Providence Rd, Ste 105Charlotte, NC 28226-2954 · Phone (704) 446-7800
Location 2101 E W T Harris Blvd, Ste 2320Charlotte, NC 28262-3485 · Phone (704) 547-0858
Location 31025 Morehead Medical Dr, Ste 500 FL 5Charlotte, NC 28204-2963 · Phone (704) 355-3149
Location 41025 Morehead Medical Dr, Ste 450Charlotte, NC 28204-2963 · Phone (704) 446-7800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priya Bajaj Pillai 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.

PECOS PAC ID1153323696
PECOS Enrollment IDI20070212000681, I20120210000058
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services39 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
42 services42 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

LAURA HINES LOWDER MD
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100
NAVID JALALI MD
Psychiatry & Neurology (Neurology)
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 377-9323
SYDNEY MARIE CAPODICASA NP
Nurse Practitioner
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
RHONDA SUE ARDELEAN PA
Physician Assistant
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
SHALINEE JHA MD
Internal Medicine
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
SUNIA AYEZA PERVEZ MD
Hospitalist
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
JOHN G PHILLIPS M. D.
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100
ASHOK VALJIBHAI PATEL MD
Psychiatry & Neurology (Neurology)
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 377-9323

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 Pillai's NPI number?

The NPI number for Priya Pillai is 1144251240. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Priya Pillai located?

Priya Pillai practices at 15110 John J Delaney Dr Ste 100, Charlotte, NC 28277. The listed phone number is (704) 512-5100.

What is Priya Pillai's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Priya Pillai enrolled in Medicare?

Yes. Priya Pillai 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.

What insurance does Priya Pillai accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Priya Pillai 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.

Is Priya Pillai affiliated with any hospitals?

According to CMS data, Priya Pillai is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Priya Pillai was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.