PRIYA PATEL PA-C
NPI 1457958969
Physician Assistant in Boston, MA

Active since October 07, 2020PECOS EnrolledAccepts Medicare Assignment
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG, BOSTON, MA 02118(617) 638-6428(617) 638-5756 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, May 25, 2023, Feb 24, 2023 and 3 more (6 updates tracked since 2020).

About Priya Patel Pa-c NPPES

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

PRIYA PATEL PA-C (NPI 1457958969) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA7851) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Temple University School Of Medicine (2020).

NPPES Registry Identity

NPI1457958969
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePRIYA PATELCredential: PA-C
Location Address830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDGBoston, MA 02118-0211
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690
Fax(617) 638-5756
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2020
Enumeration DateOctober 7, 2020
Last NPPES UpdateMay 20, 20266 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1457958969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA7851
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
830 HARRISON AVENUE, 3RD FL, Boston, MA 02118

Other Identifiers 2

Medicaid110166404AMA
Medicaid3140228NH

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

Priya Patel Pa-c 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 ID7517373509
PECOS Enrollment IDI20210317002281
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 2

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.
93 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services15 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Internal Medicine (Medical Oncology)
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118
Physician Assistant
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118
Internal Medicine (Hematology & Oncology)
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118
Physician Assistant
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118
Nurse Practitioner
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118
Nurse Practitioner (Gerontology)
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118
Internal Medicine (Hematology & Oncology)
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118
Nurse Practitioner (Gerontology)
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG
BOSTON, MA 02118

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 1457958969. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Priya Patel located?

Priya Patel practices at 830 Harrison Avenue, 3rd Fl Moakley Bldg, Boston, MA 02118. The listed phone number is (617) 638-6428.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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 Anthem Blue Cross and Blue Shield 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 Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.