PRIYANKA H PATEL
NPI 1376409326
Physical Therapist in Wilmington, DE
About Priyanka H Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIYANKA H PATEL (NPI 1376409326) is an individual physical therapist in Wilmington, Delaware, licensed in Delaware (J1-0015126) and active in the NPI registry since January 2026. She is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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
Priyanka H Patel 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 Reassignment
Medicare enrollment records show Priyanka Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rising Sun, MD 21911
- Reassigned Medicare billing, Delaware enrollment
- 157 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 19805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Patel's NPI number?
The NPI number for Priyanka Patel is 1376409326. It was assigned to this individual provider in the NPPES registry on January 2, 2026.
Where is Priyanka Patel located?
Priyanka Patel practices at 1208 Kirkwood Hwy, Wilmington, DE 19805. The listed phone number is (302) 993-1450.
What is Priyanka Patel's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Priyanka Patel enrolled in Medicare?
Yes. Priyanka Patel 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 organization bills Medicare for Priyanka Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Patel reassigns Medicare benefits to Ati Holdings, LLC (Rising Sun, MD). 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 Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priyanka Patel accept?
Health plans from AmeriHealth Caritas Next list Priyanka 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 Priyanka Patel was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.