PRIYA PANKAJKUMAR PATEL MD
NPI 1487911707
Internal Medicine - Pulmonary Disease in Fairfax, VA

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
8081 INNOVATION PARK DR, FAIRFAX, VA 22031(571) 472-4724(571) 472-0241 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Feb 28, 2022, Apr 26, 2021 and 4 more (7 updates tracked since 2017).

About Priya Pankajkumar Patel Md NPPES

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

PRIYA PANKAJKUMAR PATEL MD (NPI 1487911707) is an individual pulmonary disease provider in Fairfax, Virginia, licensed in Virginia (0101269717) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1487911707
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NamePRIYA PANKAJKUMAR PATELCredential: MD
Location Address8081 INNOVATION PARK DRFairfax, VA 22031-4867
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Fax(571) 472-0241
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 12, 2012
Last NPPES UpdateJuly 21, 20227 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
NPI 1487911707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in VA · 0101269717 Licensed in NY · P97125
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0101269717 (VA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101269717 (VA), 61923 (MN)
8081 INNOVATION PARK DR, Fairfax, VA 22031

Secondary Practice Locations 6

Location 1200 1st St SWRochester, MN 55905-6007 · Phone (507) 284-2511
Location 21275 York Ave, Department of Pulmonary MedicineNew York, NY 10065-6007 · Phone (212) 639-8002 · Fax (212) 717-3116
Location 32501 Parkers LnAlexandria, VA 22306-3209 · Phone (703) 664-7000 · Fax (703) 664-7666
Location 43600 Joseph Siewick DrFairfax, VA 22033-1709 · Phone (703) 391-3600 · Fax (703) 391-3414
Location 54320 Seminary RdAlexandria, VA 22304-1535 · Phone (703) 504-3000 · Fax (703) 504-3388
Location 63300 Gallows RdFalls Church, VA 22042-3300 · Phone (703) 776-4001 · Fax (703) 776-7113

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 Pankajkumar 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 ID8224306311
PECOS Enrollment IDI20200914000328, I20211118000349
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 22

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.

Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
115 services106 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.
108 services83 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
102 services95 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
100 services100 patients
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652
This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.
47 services47 patients
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629
A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.
43 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Radiology (Radiation Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Physician Assistant
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Dietitian, Registered
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031

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 1487911707. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Priya Patel located?

Priya Patel practices at 8081 Innovation Park Dr, Fairfax, VA 22031. The listed phone number is (571) 472-4724.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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.

Is Priya Patel affiliated with any hospitals?

According to CMS data, Priya Patel is affiliated with Inova Alexandria Hospital, Inova Loudoun Hospital, Inova Fairfax Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.