PRIYANKA MEHROTRA MD
NPI 1457715567
Pediatrics - Pediatric Critical Care Medicine in New York, NY

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
3959 BROADWAY, NEW YORK, NY 10032(212) 305-8458 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Priyanka Mehrotra Md NPPES

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

PRIYANKA MEHROTRA MD (NPI 1457715567) is an individual pediatric critical care medicine provider in New York, New York, licensed in New York (300113) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2016).

NPPES Registry Identity

NPI1457715567
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NamePRIYANKA MEHROTRACredential: MD
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 Broadway # Chn10-24New York, NY 10032-1559 · (212) 305-8458
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1457715567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 300113
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 300113 (NY)
3959 BROADWAY, New York, NY 10032

Secondary Practice Location 1

Location 1506 Lenox AveNew York, NY 10037-1802 · Phone (212) 939-1000

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 Mehrotra 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 ID3678811593
PECOS Enrollment IDI20220914000668
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 Mehrotra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 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.

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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Mehrotra's NPI number?

The NPI number for Priyanka Mehrotra is 1457715567. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Priyanka Mehrotra located?

Priyanka Mehrotra practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8458.

What is Priyanka Mehrotra's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Priyanka Mehrotra enrolled in Medicare?

Yes. Priyanka Mehrotra 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 Mehrotra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Mehrotra reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Physician Affiliate Group Of New York PC (New York, NY). 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 Mehrotra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priyanka Mehrotra was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.