PRIYANKA TIWARI MD
NPI 1295837441
Internal Medicine - Gastroenterology in Saint Louis, MO

Q: What is Priyanka Tiwari's NPI number?

The NPI number for Priyanka Tiwari is 1295837441. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Priyanka Tiwari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Priyanka Tiwari was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment

615 S NEW BALLAS RD STE 1200, SAINT LOUIS, MO 63141(314) 251-2880 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Jul 19, 2023, Dec 27, 2021 and 2 more (5 updates tracked since 2019).

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About Priyanka Tiwari Md NPPES

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

PRIYANKA TIWARI MD (NPI 1295837441) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2019033235) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295837441

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NamePRIYANKA TIWARICredential: MD

Location Address615 S NEW BALLAS RD STE 1200Saint Louis, MO 63141-8221

Mailing Address615 S New Ballas Rd Ste 1200Saint Louis, MO 63141-8221 · (314) 251-2880

Phone(314) 251-2880

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateSeptember 1, 2006

Last NPPES UpdateJune 24, 20245 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1295837441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MO · 2019033235

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

615 S NEW BALLAS RD STE 1200, Saint Louis, MO 63141

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Secondary Practice Locations 3

Location 1200 Brevco Plz Ste 208Lake St Louis, MO 63367-2950 · Phone (636) 561-9020

Location 215945 Clayton Rd Ste 220Ballwin, MO 63011-2491 · Phone (314) 251-3880

Location 3621 S New Ballas Rd Ste 584ASaint Louis, MO 63141-8261 · Phone (314) 251-3600

Other Identifiers 1

Medicaid17330ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Priyanka Tiwari Md 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 ID2769633668

PECOS Enrollment IDI20200124000072

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 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.

42 services21 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

22 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 12

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

CATHERINE FILLEY HOWE MD

Internal Medicine (Gastroenterology)