PRIYANKA PANDEY DO
NPI 1326539248
Internal Medicine in Warren, MI

Active since May 25, 2018PECOS Enrolled
11800 E 12 MILE RD, WARREN, MI 48093(586) 576-1615(855) 856-4154 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2022, May 25, 2018 (2 updates tracked since 2018).

About Priyanka Pandey Do NPPES

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

PRIYANKA PANDEY DO (NPI 1326539248) is an individual internal medicine provider in Warren, Michigan, licensed in Tennessee (6052) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1326539248
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYANKA PANDEYCredential: DO
Location Address11800 E 12 MILE RDWarren, MI 48093-3472
Mailing Address17125 W 14 Mile RdBeverly Hills, MI 48025-3225 · (248) 417-6625
Fax(855) 856-4154
Sole ProprietorYes
Enumeration DateMay 25, 2018
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1326539248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 6052
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 5101027177 (MI)
11800 E 12 MILE RD, Warren, MI 48093

Secondary Practice Location 1

Location 112000 E 12 Mile RdWarren, MI 48093-3570 · Phone (586) 576-4145

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)

Priyanka Pandey Do 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 Pandey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan and Tennessee enrollments
  • 666 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 48093 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Clinical Nurse Specialist (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Hospitalist
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Speech-Language Pathologist
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Practitioner (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093

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 Pandey's NPI number?

The NPI number for Priyanka Pandey is 1326539248. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Priyanka Pandey located?

Priyanka Pandey practices at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 576-1615.

What is Priyanka Pandey's specialty?

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

Is Priyanka Pandey enrolled in Medicare?

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

Which organization bills Medicare for Priyanka Pandey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Pandey reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Pandey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Pandey accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Priyanka Pandey 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 Pandey was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.