DR. PRIYA VASSANT BORKER MD
NPI 1356753891
Internal Medicine - Sleep Medicine in Pittsburgh, PA
About Dr. Priya Vassant Borker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYA VASSANT BORKER MD (NPI 1356753891) is an individual sleep medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD474015) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Priya Vassant Borker 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.
Medicare Billing Reassignments
3Medicare enrollment records show Priya Borker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittsburgh, PA 15213
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Garrettsville, OH 44231
- Reassigned Medicare billing, Ohio enrollment
- 1,437 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parma Community General Hospital
Acute Care Hospitals · Parma, OHLake Health
Acute Care Hospitals · Concord, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHLake Health Beachwood Medical Center
Acute Care Hospitals · Beachwood, OHUhhs Memorial Hospital Of Geneva
Critical Access Hospitals · Geneva, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Borker's NPI number?
The NPI number for Priya Borker is 1356753891. It was assigned to this individual provider in the NPPES registry on June 2, 2014.
Where is Priya Borker located?
Priya Borker practices at 3459 Fifth Ave, Upmc Montefiore Hospital Nw628, Pittsburgh, PA 15213. The listed phone number is (667) 617-7000.
What is Priya Borker's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.
Is Priya Borker enrolled in Medicare?
Yes. Priya Borker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Priya Borker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priya Borker reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), University Primary Care Practices Inc (Garrettsville, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each 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 Priya Borker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priya Borker accept?
Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Priya Borker 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.
Is Priya Borker affiliated with any hospitals?
According to CMS data, Priya Borker is affiliated with Parma Community General Hospital, Lake Health, Uh Cleveland Medical Center, Lake Health Beachwood Medical Center and Uhhs Memorial Hospital Of Geneva.
When was this NPI record last updated?
The NPPES record for Priya Borker was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Priya Vassant Borker, MD · NPI 1356753891
Sleep Medicine physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 2, 2014.
## Identity
- **NPI:** 1356753891 (Entity type: Individual)
- **Enumerated:** June 2, 2014
- **Primary specialty:** Internal Medicine - Sleep Medicine · taxonomy 207RS0012X
- **State license:** MD474015 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3459 FIFTH AVE, UPMC MONTEFIORE HOSPITAL, NW628, Pittsburgh, PA 15213
- **Phone:** (667) 617-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Pittsburgh Physicians (NPI 1548433527, Pittsburgh, PA); University Primary Care Practices Inc (NPI 1649309477, Garrettsville, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 14, 2021
- **Other identifiers:** Other 260068 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1356753891) · Data from the CMS NPPES public registry.