PRIYANKA SABHARWAL M.D.
NPI 1487938460
Psychiatry & Neurology - Neurology in Saint Paul, MN

Active since October 07, 2011PECOS EnrolledAccepts Medicare Assignment
76.55/100
CMS Quality Rating
295 PHALEN BLVD, SAINT PAUL, MN 55130(507) 269-6358 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2021, Aug 18, 2017 (2 updates tracked since 2017).

About Priyanka Sabharwal M.d. NPPES

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

PRIYANKA SABHARWAL M.D. (NPI 1487938460) is an individual neurology provider in Saint Paul, Minnesota, licensed in Minnesota (62170) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1487938460
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePRIYANKA SABHARWALCredential: M.D.
Location Address295 PHALEN BLVDSaint Paul, MN 55130-2400
Mailing AddressPo Box 1309, Ms 21110qMinneapolis, MN 55440-1309
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 7, 2011
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1487938460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MN · 62170
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
295 PHALEN BLVD, Saint Paul, MN 55130

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

Priyanka Sabharwal M.d. 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 ID9931473568
PECOS Enrollment IDI20210809002340
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 16

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
225 services117 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
153 services144 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.
124 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services38 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
65 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

76.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.16
Promoting Interoperability100
Improvement Activities40
Cost55.94

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.

Nurse Practitioner
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner (Family)
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapist
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Durable Medical Equipment & Medical Supplies
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation (Pain Medicine)
295 PHALEN BLVD
SAINT PAUL, MN 55130

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 Sabharwal's NPI number?

The NPI number for Priyanka Sabharwal is 1487938460. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is Priyanka Sabharwal located?

Priyanka Sabharwal practices at 295 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (507) 269-6358.

What is Priyanka Sabharwal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Priyanka Sabharwal enrolled in Medicare?

Yes. Priyanka Sabharwal 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.

When was this NPI record last updated?

The NPPES record for Priyanka Sabharwal was last updated on November 11, 2021. 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.