PRIYANKA HITEN PAREKH M.D.
NPI 1780034223
Ophthalmology in Grand Rapids, MI

Q: What is Priyanka Parekh's NPI number?

The NPI number for Priyanka Parekh is 1780034223. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Priyanka Parekh's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Priyanka Parekh was last updated on December 18, 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.

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment

74.01/100

CMS Quality Rating

750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 949-2600 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2020, Jun 15, 2016 (2 updates tracked since 2016).

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About Priyanka Hiten Parekh M.d. NPPES

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

PRIYANKA HITEN PAREKH M.D. (NPI 1780034223) is an individual ophthalmology provider in Grand Rapids, Michigan, licensed in Michigan (4301503773) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2016).

NPPES Registry Identity

NPI1780034223

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NamePRIYANKA HITEN PAREKHCredential: M.D.

Location Address750 E BELTLINE AVE NEGrand Rapids, MI 49525-6049

Mailing Address750 E Beltline Ave NeGrand Rapids, MI 49525-6049

Phone(616) 949-2600

Sole ProprietorYes

Medical School CMSIndiana University School Of MedicineGraduated 2016

Enumeration DateJune 15, 2016

Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration

NPPES CertifiedDecember 18, 2023

✔ NPI 1780034223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301503773

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

750 E BELTLINE AVE NE, Grand Rapids, MI 49525

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Other Identifiers 2

Medicaid4301503773MI

Other4301503773MI · State

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Priyanka Hiten Parekh 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 ID6608167598

PECOS Enrollment IDI20250722004245

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 14

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.

418 services222 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

143 services139 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

126 services121 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

88 services61 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

85 services79 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

76 services44 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.

69 services69 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.

51 services44 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

30 services29 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

26 services26 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

19 services16 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

19 services19 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

74.01/100

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

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

15.89

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.

DR. LAURA J PIIPPO M.D.

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. ROBERT J ROOSENBERG M.D.

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

GRO OPTICAL, LLC

Eyewear Supplier

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 942-1350

DR. MARK E SHELDON MD

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. RACHEL GATES O.D.

Optometrist

750 E BELTLINE AVE NE, STE 202
GRAND RAPIDS, MI 49525

Kent County (616) 588-6542

BRIAN M DOLPHIN OD

Optometrist

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. MARCUS SALIM MUALLEM MD

Ophthalmology

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

DR. GREGORY LEON PATERA O.D.

Optometrist

750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 949-2600

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 Parekh's NPI number?

The NPI number for Priyanka Parekh is 1780034223. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Priyanka Parekh located?

Priyanka Parekh practices at 750 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 949-2600.

What is Priyanka Parekh's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Priyanka Parekh enrolled in Medicare?

Yes. Priyanka Parekh 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 Priyanka Parekh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 7 other insurers list Priyanka Parekh 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 Priyanka Parekh was last updated on December 18, 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.