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DR. PRIYANKA VORA M.D.
NPI 1366067621
Internal Medicine in Cleveland, OH

Active since June 12, 2020PECOS EnrolledAccepts Medicare Assignment
1730 W 25TH ST STE 2E, CLEVELAND, OH 44113(216) 696-4140(216) 363-2058 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2024, Apr 29, 2024, Jun 12, 2020 (3 updates tracked since 2020).

About Dr. Priyanka Vora M.d. NPPES

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

DR. PRIYANKA VORA M.D. (NPI 1366067621) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.149854) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1366067621
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRIYANKA VORACredential: M.D.
Location Address1730 W 25TH ST STE 2ECleveland, OH 44113-3108
Mailing AddressPo Box 715846Cincinnati, OH 45271-5846 · (216) 696-4140 · Fax (216) 363-2058
Phone(216) 696-4140
Fax(216) 363-2058
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2020
Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1366067621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.149854
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.
1730 W 25TH ST STE 2E, Cleveland, OH 44113
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Secondary Practice Location 1

Location 12351 E 22nd StCleveland, OH 44115-3111 · Phone (216) 861-6200 · Fax (216) 363-7490

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Priyanka Vora M.d. 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 ID42688335
PECOS Enrollment IDI20240522003368
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 Reassignments

2

Medicare enrollment records show Priyanka Vora reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Assure MD LLC
Same address
Internal Medicine
1730 W 25TH ST STE 2E
Cleveland, OH 44113
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1083385181 (216) 696-4140
The Metrohealth System
1.8 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44113 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

RONALD GOLOVAN M.D.
Internal Medicine
1730 W 25TH ST STE 2E
CLEVELAND, OH 44113
Cuyahoga County (216) 696-2205
ASSURE MD LLC
Internal Medicine
1730 W 25TH ST STE 2E
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4140
CELIN RAYMOND CARABALLO NP
Nurse Practitioner (Family)
1730 W 25TH ST STE 2E
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4140
RONALD GOLOVAN, M.D., INC.
Internal Medicine
1730 W 25TH ST STE 2E
CLEVELAND, OH 44113
Cuyahoga County (216) 696-2205
JAYANTILAL D BHIMANI MD
Internal Medicine
1730 W 25TH ST STE 2E
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4140

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 Vora's NPI number?

The NPI number for Priyanka Vora is 1366067621. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Priyanka Vora located?

Priyanka Vora practices at 1730 W 25th St Ste 2E, Cleveland, OH 44113. The listed phone number is (216) 696-4140.

What is Priyanka Vora's specialty?

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

Is Priyanka Vora enrolled in Medicare?

Yes. Priyanka Vora 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 Priyanka Vora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Vora reassigns Medicare benefits to 2 organizations: Assure MD LLC (Cleveland, OH) and The Metrohealth System (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 Priyanka Vora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Vora accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Priyanka Vora 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 Priyanka Vora affiliated with any hospitals?

According to CMS data, Priyanka Vora is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Priyanka Vora was last updated on September 13, 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.