1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Emergency Medicine
  6. NPI Profile

DR. PRIYA GHELANI
NPI 1194143529
Emergency Medicine in Dallas, TX

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
3500 GASTON AVE, DALLAS, TX 75246(817) 820-2505 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2021, Jul 24, 2018 (2 updates tracked since 2018).

About Dr. Priya Ghelani NPPES

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

DR. PRIYA GHELANI (NPI 1194143529) is an individual emergency medicine provider in Dallas, Texas, licensed in Texas (S8308) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1194143529
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. PRIYA GHELANI
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address1400 Pelham Pkwy S, Building 6//suite B125Bronx, NY 10461-1138
Phone(817) 820-2505
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1194143529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · S8308
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3500 GASTON AVE, Dallas, TX 75246
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Pelham Pkwy S, Building 6//Suite B125Bronx, NY 10461 · Phone (718) 918-5820

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Dr. Priya Ghelani 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 ID3476897455
PECOS Enrollment IDI20201002000741
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
131 services129 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
87 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services48 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.
Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Dallas County (214) 820-3772
MICHELLE CAIN AGACNP
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2050
DR. MATTHEW PAUL CLEMONS MD
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2361
ROBERT COLE FORE RN
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-0111
JAMES PIERRE D'ETIENNE MD
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2505
DR. JO ANN F. TRAVIS M.D.
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Dallas County (214) 549-4835
ASIF ZIA KHATTAK MD
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-7604
FATIMA KHAN
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (844) 279-3627

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 Ghelani's NPI number?

The NPI number for Priya Ghelani is 1194143529. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Priya Ghelani located?

Priya Ghelani practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (817) 820-2505.

What is Priya Ghelani's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Priya Ghelani enrolled in Medicare?

Yes. Priya Ghelani 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 Ghelani accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Priya Ghelani 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 Ghelani affiliated with any hospitals?

According to CMS data, Priya Ghelani is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Ghelani was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.