DR. PRIYANK KHANDELWAL M.D.
NPI 1225347727
Psychiatry & Neurology - Vascular Neurology in Newark, NJ

Active since September 30, 2010PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN ST # 8100, NEWARK, NJ 07103(973) 972-2323(973) 972-2333 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Nov 20, 2018, Sep 30, 2016 (3 updates tracked since 2016).

About Dr. Priyank Khandelwal M.d. NPPES

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

DR. PRIYANK KHANDELWAL M.D. (NPI 1225347727) is an individual vascular neurology provider in Newark, New Jersey, licensed in New Jersey (25MA10382600) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225347727
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. PRIYANK KHANDELWALCredential: M.D.
Location Address90 BERGEN ST # 8100Newark, NJ 07103
Mailing Address30 Bergen St Rm 1205Newark, NJ 07107-3000 · (973) 972-0037 · Fax (973) 972-0743
Fax(973) 972-2333
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 30, 2010
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1225347727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License✔ Licensed in NJ · 25MA10382600
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 25MA10382600 (NJ)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 25MA10382600 (NJ)
90 BERGEN ST # 8100, Newark, NJ 07103

Secondary Practice Locations 2

Location 1450 Clarkson AveBrooklyn, NY 11203-2012 · Phone (646) 823-2385
Location 2150 Park AveFlorham Park, NJ 07932-1049 · Phone (973) 404-9887

Other Identifiers 1

Medicaid0653543NJ

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

Dr. Priyank Khandelwal M.d. 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 ID2668762881
PECOS Enrollment IDI20180921002325
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 Reassignments

4

Medicare enrollment records show Priyank Khandelwal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services20 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
23 services19 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
20 services17 patients
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226
This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
20 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
90 BERGEN ST # 8100
NEWARK, NJ 07103
Neurological Surgery
90 BERGEN ST # 8100
NEWARK, NJ 07103
Otolaryngology
90 BERGEN ST # 8100
NEWARK, NJ 07103
Neurological Surgery
90 BERGEN ST # 8100
NEWARK, NJ 07103

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 Priyank Khandelwal's NPI number?

The NPI number for Priyank Khandelwal is 1225347727. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Where is Priyank Khandelwal located?

Priyank Khandelwal practices at 90 Bergen St # 8100, Newark, NJ 07103. The listed phone number is (973) 972-2323.

What is Priyank Khandelwal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Priyank Khandelwal enrolled in Medicare?

Yes. Priyank Khandelwal 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 Priyank Khandelwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyank Khandelwal reassigns Medicare benefits to 4 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Summit Medical Group PA (Berkeley Heights, NJ), Capital Health Medical Group (Trenton, NJ) and Capital Health Multispecialty Group (Trenton, NJ). 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 Priyank Khandelwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Priyank Khandelwal affiliated with any hospitals?

According to CMS data, Priyank Khandelwal is affiliated with Cooperman Barnabas Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Priyank Khandelwal was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.