1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Otolaryngology
  6. NPI Profile

DR. PRIYA KUNAL PATEL MD
NPI 1619437217
Otolaryngology in Baltimore, MD

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
16 S EUTAW ST STE 500, BALTIMORE, MD 21201(410) 328-6866 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Sep 13, 2024, Mar 21, 2019 (3 updates tracked since 2019).

About Dr. Priya Kunal Patel Md NPPES

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

DR. PRIYA KUNAL PATEL MD (NPI 1619437217) is an individual otolaryngology provider in Baltimore, Maryland, licensed in Maryland (D0099496) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619437217
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PRIYA KUNAL PATELCredential: MD
Location Address16 S EUTAW ST STE 500Baltimore, MD 21201-1619
Mailing Address16 S Eutaw St Ste 500Baltimore, MD 21201-1619 · (410) 328-6866
Phone(410) 328-6866
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1619437217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MD · D0099496
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
16 S EUTAW ST STE 500, Baltimore, MD 21201
Open in Google Maps ↗

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

Dr. Priya Kunal 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 ID5698107308
PECOS Enrollment IDI20241011004003, I20241016003307
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 Reassignment

Medicare enrollment records show Priya Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
3.5 mi
Ambulatory Surgical
1701 TWIN SPRINGS RD
Halethorpe, MD 21227
NPI 1942546486 (301) 816-2424

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$65.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$32.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

DR. TULEEN SAWAF MD
Student in an Organized Health Care Education/Training Program
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (703) 625-4145
DR. SOPHIA UDDIN MD, PHD
Otolaryngology
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (410) 507-9840
DR. ADAM KAUFMAN
Otolaryngology (Otology & Neurotology)
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (410) 328-6866
WIKTORIA ANNA GOCAL MD
Student in an Organized Health Care Education/Training Program
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (410) 328-6866
FAYE ZHANG
Student in an Organized Health Care Education/Training Program
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (410) 328-6866
DR. NEHA AMIN
Student in an Organized Health Care Education/Training Program
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (443) 537-0381
DR. CHANDALA CHITGUPPI MD
Student in an Organized Health Care Education/Training Program
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (410) 328-2477
DR. KYLE MONROE HATTEN MD
Otolaryngology
16 S EUTAW ST STE 500
BALTIMORE, MD 21201
Baltimore City (410) 328-3197

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 1619437217. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Priya Patel located?

Priya Patel practices at 16 S Eutaw St Ste 500, Baltimore, MD 21201. The listed phone number is (410) 328-6866.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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.

Which organization bills Medicare for Priya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Patel reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Halethorpe, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.