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

Q: 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.

Q: What is Priya Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on July 21, 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.

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: October 18, 2026.

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

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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

Phone(571) 472-4724

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8081 INNOVATION PARK DR, Fairfax, VA 22031

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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 34320 Seminary RdAlexandria, VA 22304-1535 · Phone (703) 504-3000 · Fax (703) 504-3388

Location 42501 Parkers LnAlexandria, VA 22306-3209 · Phone (703) 664-7000 · Fax (703) 664-7666

Location 53600 Joseph Siewick DrFairfax, VA 22033-1709 · Phone (703) 391-3600 · Fax (703) 391-3414

Location 63300 Gallows RdFalls Church, VA 22042-3300 · Phone (703) 776-4001 · Fax (703) 776-7113

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Priya Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services

Same address

Medical Oncology

8081 INNOVATION PARK DR
Fairfax, VA 22031

Reassigned Medicare billing, District of Columbia and Virginia enrollments
Also billed through NPI 1952320061 (District of Columbia), NPI 1588717755 (Virginia)
258 clinicians in this Medicare group

NPI 1275097123 (703) 289-2454

Beth Israel Deaconess Medical Center, Inc.

401 mi

General Acute Care Hospital

330 BROOKLINE AVE, ST 207
Boston, MA 02215

Reassigned Medicare billing, Massachusetts enrollment
1,477 clinicians in this Medicare group

NPI 1548202641 (617) 667-1961

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

401 mi

Internal Medicine

330 BROOKLINE AVE
Boston, MA 02215

Reassigned Medicare billing, Massachusetts enrollment
2,579 clinicians in this Medicare group

NPI 1194765438 (617) 754-9600

Mayo Clinic

866 mi

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

38 services38 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

37 services37 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

34 services34 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

34 services34 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

31 services31 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

29 services29 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.

23 services23 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

20 services20 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

19 services14 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

16 services16 patients

Biopsy of lung airway using an endoscope 31625

A biopsy of the lung airway using an endoscope is a procedure where a small, flexible tube with a light and camera is inserted through your mouth or nose to reach your lungs. A tiny tool on the endoscope collects a small tissue sample for examination.

15 services15 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

15 services15 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

15 services15 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

15 services15 patients

Dilation of windpipe cartilage or treatment of broken windpipe cartilage using an endoscope 31630

This procedure uses an endoscope, a small tube with a camera, to view and treat issues with the windpipe cartilage. It can be used to expand narrowed areas or repair broken cartilage, helping restore normal breathing.

15 services11 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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 Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490101

Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County

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.

DR. RAYMUND S CUEVO M.D.

Internal Medicine (Medical Oncology)