DR. PRIYA RAMAN M.D.
NPI 1639565799
Internal Medicine - Critical Care Medicine in Lakewood, CO

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
91.91/100
CMS Quality Rating
274 UNION BLVD STE 110, LAKEWOOD, CO 80228(303) 951-0600 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2021, Jul 1, 2021 (2 updates tracked since 2021).

About Dr. Priya Raman M.d. NPPES

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

DR. PRIYA RAMAN M.D. (NPI 1639565799) is an individual critical care medicine provider in Lakewood, Colorado, licensed in Colorado (DR.0065495) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2015).

NPPES Registry Identity

NPI1639565799
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. PRIYA RAMANCredential: M.D.
Location Address274 UNION BLVD STE 110Lakewood, CO 80228-1836
Mailing Address274 Union Blvd Ste 110Lakewood, CO 80228-1836 · (303) 951-0600
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
NPI 1639565799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CO · DR.0065495
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License DR.0065495 (CO)
274 UNION BLVD STE 110, Lakewood, CO 80228

Accepted 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 Raman 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 ID1557765864
PECOS Enrollment IDI20230822001800
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
246 services92 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.
56 services41 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.
16 services16 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

91.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.13
Promoting Interoperability100
Improvement Activities40
Cost67.87

Referred Medical Equipment & Supplies CMS DME claims 3

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$28.94 avg. paid by Medicare
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
4 suppliers30 claims31 services$68.65 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims17 services$33.98 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 19

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

Physician Assistant (Medical)
274 UNION BLVD STE 110
LAKEWOOD, CO 80228
Internal Medicine (Critical Care Medicine)
274 UNION BLVD STE 110
LAKEWOOD, CO 80228
Internal Medicine (Critical Care Medicine)
274 UNION BLVD STE 110
LAKEWOOD, CO 80228
Internal Medicine (Critical Care Medicine)
274 UNION BLVD STE 110
LAKEWOOD, CO 80228
Nurse Practitioner
274 UNION BLVD STE 110
LAKEWOOD, CO 80228
Internal Medicine (Critical Care Medicine)
274 UNION BLVD STE 110
LAKEWOOD, CO 80228
Internal Medicine (Critical Care Medicine)
274 UNION BLVD STE 110
LAKEWOOD, CO 80228
Internal Medicine (Pulmonary Disease)
274 UNION BLVD STE 110
LAKEWOOD, CO 80228

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 Raman's NPI number?

The NPI number for Priya Raman is 1639565799. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Priya Raman located?

Priya Raman practices at 274 Union Blvd Ste 110, Lakewood, CO 80228. The listed phone number is (303) 951-0600.

What is Priya Raman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Priya Raman enrolled in Medicare?

Yes. Priya Raman 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.

What insurance does Priya Raman accept?

Health plans from Oscar Health Plan, Inc. list Priya Raman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Priya Raman was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.