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PRIYA JOSEPH MD
NPI 1790161156
Hospitalist in Prosper, TX

Active since August 07, 2015PECOS Enrolled
4100 W UNIVERSITY DR, PROSPER, TX 75078(945) 204-4100(682) 885-1903 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2024, Jul 18, 2018 (2 updates tracked since 2018).

About Priya Joseph Md NPPES

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

PRIYA JOSEPH MD (NPI 1790161156) is an individual hospitalist provider in Prosper, Texas, licensed in Texas (R8024) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790161156
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePRIYA JOSEPHCredential: MD
Location Address4100 W UNIVERSITY DRProsper, TX 75078-3123
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(945) 204-4100
Fax(682) 885-1903
Sole ProprietorNo
Enumeration DateAugust 7, 2015
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1790161156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · R8024
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 4301113562 (MI)
4100 W UNIVERSITY DR, Prosper, TX 75078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya Joseph Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Priya Joseph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Children's Physician Network
43 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483
Lakeland Medical Practices
825 mi
Internal Medicine
9623 RED ARROW HWY
Bridgman, MI 49106
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
NPI 1568232247 (269) 465-6050

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 75078 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

SANA JAMIL SIDDIQUI-YOUSUFZAI M.D.
Hospitalist
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (945) 204-4100
NATALIE NIMER SMITH M.D.
Pediatrics (Pediatric Emergency Medicine)
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (945) 204-4100
ALOCHANA RAGULA MD
Hospitalist
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (945) 204-4100
PAULINA JOANNA RAMOS-COBORN MD
Hospitalist
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (945) 204-4100
JAY S JEON
Hospitalist
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (945) 204-4100
AMY CHENG M.D.
Pediatrics (Pediatric Emergency Medicine)
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (945) 204-4100
MICHAEL PALDINO MD
Radiology (Neuroradiology)
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 885-6483
JILL YVONNE STEINBACH CPNP-AC
Nurse Practitioner (Acute Care)
4100 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (945) 204-4100

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 Joseph's NPI number?

The NPI number for Priya Joseph is 1790161156. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Priya Joseph located?

Priya Joseph practices at 4100 W University Dr, Prosper, TX 75078. The listed phone number is (945) 204-4100.

What is Priya Joseph's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Priya Joseph enrolled in Medicare?

Yes. Priya Joseph is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Priya Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Joseph reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and Lakeland Medical Practices (Bridgman, MI). 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 Priya Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Joseph accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Priya Joseph 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 Joseph was last updated on July 29, 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.