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PRIYA VENKATESH MD
NPI 1376768366
Pediatrics in Plano, TX

Active since April 16, 2007PECOS Enrolled
5655 W SPRING CREEK PKWY STE 200, PLANO, TX 75024(972) 599-9600(972) 599-9696 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2023, Jun 19, 2018 (2 updates tracked since 2018).

About Priya Venkatesh Md NPPES

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

PRIYA VENKATESH MD (NPI 1376768366) is an individual pediatrics provider in Plano, Texas, licensed in Texas (M9719) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reading.

NPPES Registry Identity

NPI1376768366
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRIYA VENKATESHCredential: MD
Location Address5655 W SPRING CREEK PKWY STE 200Plano, TX 75024-4175
Mailing AddressPo Box 227102Dallas, TX 75222-7102 · (972) 801-2140 · Fax (972) 599-9696
Phone(972) 599-9600
Fax(972) 599-9696
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1376768366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · M9719✔ Licensed in PA · MD433637✔ Licensed in MI · 4301084228
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5655 W SPRING CREEK PKWY STE 200, Plano, TX 75024
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Secondary Practice Location 1

Location 1145 N 6th St Fl 2Reading, PA 19601 · Phone (610) 208-4554 · Fax (610) 378-2441

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Priya Venkatesh Md 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 Priya Venkatesh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Austin Diagnostic Clinic, PLLC
190 mi
Endocrinology, Diabetes & Metabolism
12221 N. MO PAC EXPY, DEPT OF ENDOCRINOLOGY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
NPI 1932186640 (512) 901-4005

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 75024 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 13

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

TONIA FIELD P.A.
Physician Assistant (Medical)
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (972) 599-9600
DR. RYAN JOSEPH HEWITT M.D.
Family Medicine
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (972) 599-9600
JESSICA MACWAN
Nurse Practitioner (Family)
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (972) 599-9600
MARY FRANCES PHARES FNP-C
Nurse Practitioner (Family)
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (972) 599-9600
STEVEN FREY
Family Medicine
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (972) 599-9600
MRS. SANDRA YAZMIN PORTALES APRN
Nurse Practitioner (Family)
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (972) 599-9600
KISHORE GADIKOTA M.D.
Pediatrics
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (214) 473-2200
MELANIE JOAN HOFFMAN LCSW
Counselor
5655 W SPRING CREEK PKWY STE 200
PLANO, TX 75024
Collin County (972) 599-9600

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 Venkatesh's NPI number?

The NPI number for Priya Venkatesh is 1376768366. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Priya Venkatesh located?

Priya Venkatesh practices at 5655 W Spring Creek Pkwy Ste 200, Plano, TX 75024. The listed phone number is (972) 599-9600.

What is Priya Venkatesh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Priya Venkatesh enrolled in Medicare?

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

Which organization bills Medicare for Priya Venkatesh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Venkatesh reassigns Medicare benefits to The Austin Diagnostic Clinic, PLLC (Austin, 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 Priya Venkatesh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Venkatesh accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Priya Venkatesh 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 Venkatesh was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.