PRIYANKA SEN M.D.
NPI 1427318260
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since May 28, 2012PECOS EnrolledAccepts Medicare Assignment
6410 FANNIN ST STE 600, HOUSTON, TX 77030(832) 325-7211(713) 512-2245 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2021, Jul 5, 2018 (2 updates tracked since 2018).

About Priyanka Sen M.d. NPPES

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

PRIYANKA SEN M.D. (NPI 1427318260) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (S6300) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1427318260
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NamePRIYANKA SENCredential: M.D.
Location Address6410 FANNIN ST STE 600Houston, TX 77030
Mailing Address6410 Fannin St Ste 600Houston, TX 77030-5206 · (832) 325-7211 · Fax (713) 512-2245
Fax(713) 512-2245
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2012
Enumeration DateMay 28, 2012
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1427318260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · S6300
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6410 FANNIN ST STE 600, Houston, TX 77030

Secondary Practice Location 1

Location 118815 Buffalo River WayHouston, TX 77084-5527 · Phone (713) 798-0190

Other Identifiers 1

OtherBP10043115TX · Texas Medical Board

Accepted 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

Priyanka Sen 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 ID9133541311
PECOS Enrollment IDI20200616002151
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,622 services385 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
159 services154 patients
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.
85 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
77 services55 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
66 services15 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
54 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers11 claims17 services$19.38 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims79 services$37.78 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.

Nurse Practitioner (Family)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Nephrology)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Cardiovascular Disease)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Cardiovascular Disease)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Pulmonary Disease)
6410 FANNIN ST STE 600
HOUSTON, TX 77030

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 Sen's NPI number?

The NPI number for Priyanka Sen is 1427318260. It was assigned to this individual provider in the NPPES registry on May 28, 2012.

Where is Priyanka Sen located?

Priyanka Sen practices at 6410 Fannin St Ste 600, Houston, TX 77030. The listed phone number is (832) 325-7211.

What is Priyanka Sen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Priyanka Sen enrolled in Medicare?

Yes. Priyanka Sen 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 Priyanka Sen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Priyanka Sen 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 Sen affiliated with any hospitals?

According to CMS data, Priyanka Sen is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Priyanka Sen was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.