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PRIYANKA NELLORI M.D
NPI 1760511182
Internal Medicine in Phillipsburg, NJ

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
755 MEMORIAL PKWY STE 302, PHILLIPSBURG, NJ 08865(908) 847-6722(833) 541-5799 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Priyanka Nellori M.d NPPES

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

PRIYANKA NELLORI M.D (NPI 1760511182) is an individual internal medicine provider in Phillipsburg, New Jersey, licensed in Utah (6474858-1205) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1760511182
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYANKA NELLORICredential: M.D
Location Address755 MEMORIAL PKWY STE 302Phillipsburg, NJ 08865-2771
Mailing Address755 Memorial Pkwy Ste 302Phillipsburg, NJ 08865-2771 · (908) 847-6722 · Fax (833) 541-5799
Phone(908) 847-6722
Fax(833) 541-5799
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 2, 2007
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1760511182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 6474858-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
755 MEMORIAL PKWY STE 302, Phillipsburg, NJ 08865
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Other Names 1

Former Name (1)Priyanka Nellori Vakulabaranam

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

Priyanka Nellori 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 ID4385743814
PECOS Enrollment IDI20231204000161, I20231212000556
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

2

Medicare enrollment records show Priyanka Nellori reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Warren Physician Group, PC
Same address
Family Medicine
755 MEMORIAL PKWY, SUITE 300
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 153 clinicians in this Medicare group
NPI 1134465388 (908) 454-6306
St. Luke's Physician Group Inc.
1.9 mi
Infectious Disease
100 N 3RD ST, 2ND FLOOR
Easton, PA 18042
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1588043376 (484) 503-8010

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 3

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.

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.
72 services72 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.
72 services48 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.
37 services34 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Internal Medicine (Rheumatology)
755 MEMORIAL PKWY STE 302
PHILLIPSBURG, NJ 08865
Warren County (484) 503-0055
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Family Medicine (Obesity Medicine)
755 MEMORIAL PKWY STE 302
PHILLIPSBURG, NJ 08865
Warren County (908) 847-2621
AMY MARIE DOMANSKI APN
Nurse Practitioner (Family)
755 MEMORIAL PKWY STE 302
PHILLIPSBURG, NJ 08865
Warren County (908) 847-6722
JOHNY ELIE FARES MD
Internal Medicine (Rheumatology)
755 MEMORIAL PKWY STE 302
PHILLIPSBURG, NJ 08865
Warren County (484) 503-0055

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 Nellori's NPI number?

The NPI number for Priyanka Nellori is 1760511182. It was assigned to this individual provider in the NPPES registry on March 2, 2007. The provider is also known as Priyanka Nellori Vakulabaranam.

Where is Priyanka Nellori located?

Priyanka Nellori practices at 755 Memorial Pkwy Ste 302, Phillipsburg, NJ 08865. The listed phone number is (908) 847-6722.

What is Priyanka Nellori's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priyanka Nellori enrolled in Medicare?

Yes. Priyanka Nellori 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 organizations bill Medicare for Priyanka Nellori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Nellori reassigns Medicare benefits to 2 organizations: St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and St. Luke's Physician Group Inc. (Easton, PA). Each 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 Priyanka Nellori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Priyanka Nellori affiliated with any hospitals?

According to CMS data, Priyanka Nellori is affiliated with St Luke's Warren Hospital and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Priyanka Nellori was last updated on December 21, 2023. 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.