DR. PRIYANKA PRAVIN RAIYANI BDS, MDS, MSD
NPI 1225619398
Dentist in San Francisco, CA

Active since April 19, 2021PECOS Enrolled
240 SHOTWELL ST, SAN FRANCISCO, CA 94110(415) 319-9797 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2022, Feb 26, 2022, Apr 24, 2021 (3 updates tracked since 2021).

About Dr. Priyanka Pravin Raiyani Bds, Mds, Msd NPPES

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

DR. PRIYANKA PRAVIN RAIYANI BDS, MDS, MSD (NPI 1225619398) is an individual dentist in San Francisco, California, licensed in California (108305) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225619398
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. PRIYANKA PRAVIN RAIYANICredential: BDS, MDS, MSD
Location Address240 SHOTWELL STSan Francisco, CA 94110-1323
Mailing Address240 Shotwell StSan Francisco, CA 94110-1323 · (415) 319-9797 · Fax (707) 254-1779
Sole ProprietorYes
Enumeration DateApril 19, 2021
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1225619398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · 108305✔ Licensed in WA · DE61142655
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
240 SHOTWELL ST, San Francisco, CA 94110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Priyanka Pravin Raiyani Bds, Mds, Msd 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 Raiyani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
240 SHOTWELL ST
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 30 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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.

Nurse Practitioner (Family)
240 SHOTWELL ST
SAN FRANCISCO, CA 94110
Family Medicine
240 SHOTWELL ST
SAN FRANCISCO, CA 94110
Clinic/Center (Federally Qualified Health Center (FQHC))
240 SHOTWELL ST
SAN FRANCISCO, CA 94110
Pediatrics
240 SHOTWELL ST
SAN FRANCISCO, CA 94110
Case Manager/Care Coordinator
240 SHOTWELL ST
SAN FRANCISCO, CA 94110
Nurse Practitioner
240 SHOTWELL ST
SAN FRANCISCO, CA 94110
Nurse Practitioner
240 SHOTWELL ST
SAN FRANCISCO, CA 94110
Dietitian, Registered
240 SHOTWELL ST
SAN FRANCISCO, CA 94110

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 Raiyani's NPI number?

The NPI number for Priyanka Raiyani is 1225619398. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Priyanka Raiyani located?

Priyanka Raiyani practices at 240 Shotwell St, San Francisco, CA 94110. The listed phone number is (415) 319-9797.

What is Priyanka Raiyani's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Priyanka Raiyani enrolled in Medicare?

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

Which organization bills Medicare for Priyanka Raiyani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Raiyani reassigns Medicare benefits to Mission Area Health Associates (San Francisco, 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 Raiyani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Raiyani accept?

Health plans from Humana list Priyanka Raiyani 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 Raiyani was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.