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PRIYA PRADIPKUMAR PATEL MD
NPI 1467940734
Allergy & Immunology in Greensboro, NC

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
82.15/100
CMS Quality Rating
522 N ELAM AVE, GREENSBORO, NC 27403(336) 373-0936 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, Jul 6, 2023, Apr 23, 2018 (3 updates tracked since 2018).

About Priya Pradipkumar Patel Md NPPES

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

PRIYA PRADIPKUMAR PATEL MD (NPI 1467940734) is an individual allergy & immunology provider in Greensboro, North Carolina, licensed in North Carolina (202301312) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Univ Of Central Florida, College Of Medicine (2018).

NPPES Registry Identity

NPI1467940734
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NamePRIYA PRADIPKUMAR PATELCredential: MD
Location Address522 N ELAM AVEGreensboro, NC 27403-1151
Mailing Address300 E Wendover AveGreensboro, NC 27401-1229 · (336) 663-5220
Phone(336) 373-0936
Sole ProprietorNo
Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1467940734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NC · 202301312
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
522 N ELAM AVE, Greensboro, NC 27403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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 Pradipkumar 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 ID648528463
PECOS Enrollment IDI20230719001593
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 8

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.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
2,340 services12 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,224 services21 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
148 services43 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
126 services32 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
39 services13 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.
31 services26 patients

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.

82.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.92
Promoting Interoperability81
Improvement Activities40
Cost72.4

Other Providers at the Same Location NPPES 7

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

SHAYLAR PADGETT
Allergy & Immunology
522 N ELAM AVE
GREENSBORO, NC 27403
Guilford County (336) 373-0936
MR. MARK LUCAS PHILLIPS MD
Pain Medicine (Pain Medicine)
522 N ELAM AVE, STE 203
GREENSBORO, NC 27403
Guilford County (336) 852-8444
DR. PAMELA M PITTMAN MD
Psychiatry & Neurology (Psychiatry)
522 N ELAM AVE, STE 101
GREENSBORO, NC 27403
Guilford County (336) 632-3505
DR. EUGENE ALEXANDER LEWIS DC
Chiropractor
522 N ELAM AVE, SUITE 201
GREENSBORO, NC 27403
Guilford County (336) 294-8383
LOUIE L. PATSEAVOURAS, M.D.P.A.
Specialist
522 N ELAM AVE, SUITE 202
GREENSBORO, NC 27403
Guilford County (336) 299-4907
SIMONE M. SIMAAN D.C. P.A.
Preferred Provider Organization
522 N ELAM AVE, SUITE 201
GREENSBORO, NC 27403
Guilford County (336) 632-0123
GUILFORD PAIN MANAGEMENT,PA
Clinic/Center (Pain)
522 N ELAM AVE, STE 203
GREENSBORO, NC 27403
Guilford County (336) 852-8444

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 1467940734. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Priya Patel located?

Priya Patel practices at 522 N Elam Ave, Greensboro, NC 27403. The listed phone number is (336) 373-0936.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

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 AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare 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.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.