DR. PRIYA KALIA M.D.
NPI 1619408002
Family Medicine in League City, TX

Q: What is Priya Kalia's NPI number?

The NPI number for Priya Kalia is 1619408002. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Priya Kalia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Priya Kalia was last updated on April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

74.96/100

CMS Quality Rating

2785 GULF FWY S STE 165, LEAGUE CITY, TX 77573(832) 505-0139(832) 505-0161 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2024, Nov 10, 2020, Mar 29, 2017 (3 updates tracked since 2017).

On this page

About Dr. Priya Kalia M.d. NPPES

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

DR. PRIYA KALIA M.D. (NPI 1619408002) is an individual family medicine provider in League City, Texas, licensed in Texas (S8583) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619408002

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PRIYA KALIACredential: M.D.

Location Address2785 GULF FWY S STE 165League City, TX 77573-4990

Mailing Address2785 Gulf Fwy S Ste 165League City, TX 77573-4990

Phone(832) 505-0139

Fax(832) 505-0161

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 27, 2017

Last NPPES UpdateApril 17, 20243 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1619408002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · S8583

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2785 GULF FWY S STE 165, League City, TX 77573

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company.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

Dr. Priya Kalia 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 ID2567873979

PECOS Enrollment IDI20201116001333

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 4

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.

189 services110 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

45 services45 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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.

74.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.77

Promoting Interoperability

Improvement Activities

Cost

47.75

Leave this field empty

Other Providers at the Same Location NPPES 5

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

MR. BENJAMIN HOMAN FNP

Nurse Practitioner (Family)