PRIYA PATEL
NPI 1225741267
Nurse Practitioner - Family in Piqua, OH

Q: What is Priya Patel's NPI number?

The NPI number for Priya Patel is 1225741267. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Q: What is Priya Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 04, 2023PECOS EnrolledAccepts Medicare Assignment

280 LOONEY RD STE 101, PIQUA, OH 45356(937) 778-1650(937) 778-3576 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Dec 5, 2023, Jul 15, 2023 and 1 more (4 updates tracked since 2023).

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About Priya Patel NPPES

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

PRIYA PATEL (NPI 1225741267) is an individual family provider in Piqua, Ohio, licensed in Ohio (APRN.CNP.0032904) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Upper Valley Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225741267

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePRIYA PATEL

Location Address280 LOONEY RD STE 101Piqua, OH 45356-4199

Mailing Address280 Looney Rd Ste 101Piqua, OH 45356-4199 · (937) 778-1650 · Fax (937) 778-3576

Phone(937) 778-1650

Fax(937) 778-3576

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 4, 2023

Last NPPES UpdateMay 6, 20264 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1225741267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0032904

280 LOONEY RD STE 101, Piqua, OH 45356

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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 Patel 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 ID7315391273

PECOS Enrollment IDI20230926002196

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 3

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.

87 services51 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.

66 services52 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

17 services12 patients

Hospital Affiliations CMS Care Compare

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

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45356 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 5

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

MR. TAYLER ALLEN YOUNG FNP-C

Nurse Practitioner