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DR. PRIYA V. PATEL DMD
NPI 1336217975
Dentist - General Practice in Sacramento, CA

Active since December 01, 2006PECOS Enrolled
5247 ELKHORN BLVD, SACRAMENTO, CA 95842(916) 813-3998 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Priya V. Patel Dmd NPPES

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

DR. PRIYA V. PATEL DMD (NPI 1336217975) is an individual general practice provider in Sacramento, California, licensed in California (55194) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336217975
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PRIYA V. PATELCredential: DMD
Location Address5247 ELKHORN BLVDSacramento, CA 95842-2509
Mailing Address5 Tagua CtSacramento, CA 95834-3842 · (916) 419-5957
Phone(916) 813-3998
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336217975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 55194
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5247 ELKHORN BLVD, Sacramento, CA 95842
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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, BEST Life, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Priya V. Patel Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95842 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 4

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

DR. BACH-MAI THI PHAM D.D.S
Dentist
5247 ELKHORN BLVD, SUITE C
SACRAMENTO, CA 95842
Sacramento County (916) 344-2249
DR. SHERWIN ABEJAR PANEM D.D.S.
Dentist
5247 ELKHORN BLVD, STE. C
SACRAMENTO, CA 95842
Sacramento County (916) 344-2554
AIMAN ABASS ABOELALA DDS
Dentist
5247 ELKHORN BLVD, SUITE C
SACRAMENTO, CA 95842
Sacramento County (916) 344-2249
DR. VANJA I ILLICH
Dentist
5247 ELKHORN BLVD, #C
SACRAMENTO, CA 95842
Sacramento County (916) 344-2554

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 Priya Patel's NPI number?

The NPI number for Priya Patel is 1336217975. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Priya Patel located?

Priya Patel practices at 5247 Elkhorn Blvd, Sacramento, CA 95842. The listed phone number is (916) 813-3998.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Priya Patel enrolled in Medicare?

Yes. Priya Patel is registered in the Medicare PECOS enrollment system.

What insurance does Priya Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Priya Patel 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 Priya Patel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.