1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Internal Medicine
  6. NPI Profile

PRIYA JAYESH PATEL MD
NPI 1396002820
Internal Medicine - Allergy & Immunology in Philadelphia, PA

Active since April 22, 2012PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3737 MARKET ST, FL 3, PHILADELPHIA, PA 19104(215) 662-2775(215) 615-5055 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priya Jayesh Patel Md NPPES

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

PRIYA JAYESH PATEL MD (NPI 1396002820) is an individual allergy & immunology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD467218) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Rutgers New Jersey Medical School (2012).

NPPES Registry Identity

NPI1396002820
Entity TypeIndividualFemale
Primary Taxonomy207RA0201X
Provider Legal NamePRIYA JAYESH PATELCredential: MD
Location Address3737 MARKET ST, FL 3Philadelphia, PA 19104-5501
Mailing Address3737 Market St, Fl 3Philadelphia, PA 19104-5501 · (215) 662-2775 · Fax (215) 615-5055
Phone(215) 662-2775
Fax(215) 615-5055
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2012
Enumeration DateApril 22, 2012
Last NPPES UpdateAugust 13, 2019
✔ NPI 1396002820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in PA · MD467218
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
3737 MARKET ST, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priya Jayesh Patel 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.

PECOS PAC ID6204105604
PECOS Enrollment IDI20190702000850
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services26 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
17 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims960 services$35.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

SAMIR MEHTA MD
Orthopaedic Surgery
3737 MARKET ST, 7 FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3340
GINA MARIA MCGARVEY PA-C
Physician Assistant
3737 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (267) 575-3110
MICHAEL MALONEY
Family Medicine
3737 MARKET ST, 9TH FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
DR. JEREMY B KATZEN M.D.
Internal Medicine (Pulmonary Disease)
3737 MARKET ST, 10TH FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3202
CRAIG D KATZ PA-C
Physician Assistant
3737 MARKET ST, 7TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3340
PRISCILLA ESADAH MD
Family Medicine
3737 MARKET ST, 9TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
LAUREN ANNE SMITH CRNP
Nurse Practitioner (Family)
3737 MARKET ST, 7TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3340
ALYSSA KATHLEEN BRUEHLMAN M.D.
Family Medicine (Addiction Medicine)
3737 MARKET ST, 9TH FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777

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 1396002820. It was assigned to this individual provider in the NPPES registry on April 22, 2012.

Where is Priya Patel located?

Priya Patel practices at 3737 Market St Fl 3, Philadelphia, PA 19104. The listed phone number is (215) 662-2775.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Priya Patel enrolled in Medicare?

Yes. Priya 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.

What insurance does Priya Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan 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.

Is Priya Patel affiliated with any hospitals?

According to CMS data, Priya Patel is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.