PRIYA SABHARWAL MD
NPI 1841218997
Obstetrics & Gynecology in West Allis, WI

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
8905 W LINCOLN AVE, SUITE 501, WEST ALLIS, WI 53227(414) 978-2229(414) 978-2279 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2026, Nov 18, 2021, Mar 16, 2017 and 1 more (4 updates tracked since 2016).

About Priya Sabharwal Md NPPES

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

PRIYA SABHARWAL MD (NPI 1841218997) is an individual obstetrics & gynecology provider in West Allis, Wisconsin, licensed in Wisconsin (66775-20) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with West Allis Memorial Hospital, and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1841218997
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePRIYA SABHARWALCredential: MD
Location Address8905 W LINCOLN AVE, SUITE 501West Allis, WI 53227-2468
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(414) 978-2279
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1841218997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in WI · 66775-20 Licensed in IN · 01075860A Licensed in IL · 036107765
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8905 W LINCOLN AVE, West Allis, WI 53227

Other Names 1

Other Name (5)Priya Gupta

Other Identifiers 4

Medicaid201314360IN
Medicaid201314360AIN
Medicaid036107765IL
Medicaid82732100WI

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

Priya Sabharwal 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 ID5395782254
PECOS Enrollment IDI20170306002042
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.

Hospital Affiliations CMS Care Compare

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

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Nurse Practitioner
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Obstetrics & Gynecology
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Advanced Practice Midwife
8905 W LINCOLN AVE, SUITE 515
WEST ALLIS, WI 53227
Obstetrics & Gynecology (Gynecologic Oncology)
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Internal Medicine (Pulmonary Disease)
8905 W LINCOLN AVE, STE 401
WEST ALLIS, WI 53227
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227

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 Sabharwal's NPI number?

The NPI number for Priya Sabharwal is 1841218997. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Priya Gupta.

Where is Priya Sabharwal located?

Priya Sabharwal practices at 8905 W Lincoln Ave Suite 501, West Allis, WI 53227. The listed phone number is (414) 978-2229.

What is Priya Sabharwal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Priya Sabharwal enrolled in Medicare?

Yes. Priya Sabharwal 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 Sabharwal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Priya Sabharwal 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.

Is Priya Sabharwal affiliated with any hospitals?

According to CMS data, Priya Sabharwal is affiliated with West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Priya Sabharwal was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.