PREEYA FOZDAR
NPI 1225568413
Internal Medicine in Pittsburgh, PA

Active since June 19, 2017PECOS Enrolled
78.53/100
CMS Quality Rating
3600 FORBES AVE STE 140, 5TH FLOOR HEINZ 57 CENTER, PITTSBURGH, PA 15213(412) 647-6340 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2025, May 24, 2021, Sep 28, 2020 and 1 more (4 updates tracked since 2017).

About Preeya Fozdar NPPES

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

PREEYA FOZDAR (NPI 1225568413) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD471665) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of University Of Virginia School Of Medicine (2017).

NPPES Registry Identity

NPI1225568413
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePREEYA FOZDAR
Location Address3600 FORBES AVE STE 140, 5TH FLOOR HEINZ 57 CENTERPittsburgh, PA 15213-3410
Mailing Address339 6th Ave Fl 5, 5th Floor Heinz 57 CenterPittsburgh, PA 15222-2518
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1225568413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD471665✔ Licensed in MD · D0104487
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3600 FORBES AVE STE 140, Pittsburgh, PA 15213

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Preeya Fozdar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799057139
PECOS Enrollment IDI20250909001912
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 Preeya Fozdar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
200 LOTHROP ST, SUITE 9055 FORBES TOWER
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
Internal Medicine
460 COCHRAN RD
Pittsburgh, PA 15228
  • Reassigned Medicare billing, Pennsylvania enrollment
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Hospitalist
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 338 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 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.
50 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
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.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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.

Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Anesthesiology
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Emergency Medicine
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Pediatrics (Pediatric Critical Care Medicine)
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Plastic Surgery
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213

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 Preeya Fozdar's NPI number?

The NPI number for Preeya Fozdar is 1225568413. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Preeya Fozdar located?

Preeya Fozdar practices at 3600 Forbes Ave Ste 140 5th Floor Heinz 57 Center, Pittsburgh, PA 15213. The listed phone number is (412) 647-6340.

What is Preeya Fozdar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Preeya Fozdar enrolled in Medicare?

Yes. Preeya Fozdar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Preeya Fozdar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Preeya Fozdar reassigns Medicare benefits to 4 organizations: Upmc Community Medicine Inc (Pittsburgh, PA), Twin Hills Primary Care (Pittsburgh, PA), Johns Hopkins University (Bethesda, MD) and Johns Hopkins University (Baltimore, MD). 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 Preeya Fozdar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Preeya Fozdar affiliated with any hospitals?

According to CMS data, Preeya Fozdar is affiliated with Johns Hopkins Hospital, The and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Preeya Fozdar was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.