NAVPRIYA OBEROI MD
NPI 1851538045
Obstetrics & Gynecology - Gynecology in Fayetteville, NY
NPI Status: Active since January 10, 2009
Contact Information
4117 MEDICAL CENTER DR
POD A
FAYETTEVILLE, NY
ZIP 13066
Phone: (315) 329-4968
Fax: (315) 329-4964
- Individual
- Female
- Years of Experience 26
- Obstetrics & Gynecology
- Gynecology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NAVPRIYA OBEROI
This page provides the complete NPI Profile along with additional information for Navpriya Oberoi, a women's health care provider established in Fayetteville, New York with a medical specialization in Obstetrics & Gynecology, focusing in gynecology and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1851538045 assigned on January 2009. The practitioner's primary taxonomy code is 207VG0400X with license number 264884 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1851538045
- Provider Name
- NAVPRIYA OBEROI MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4117 MEDICAL CENTER DR POD A FAYETTEVILLE, NY 13066
- Location Phone
- (315) 329-4968
- Location Fax
- (315) 329-4964
- Mailing Address
- 4117 MEDICAL CENTER DRIVE POD A FAYETTEVILLE, NY 13066
- Mailing Phone
- (315) 329-4968
- Mailing Fax
- (315) 329-4964
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-10-2009
- Last Update Date
- 04-22-2013
- Code Navigator
Women's health care providers like Navpriya Oberoi treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 264884
- License State
- NY
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 003403 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
J400084654 | MEDICARE PIN (08) | NY | |
J400005119 | MEDICARE PIN (08) | NY | |
03129297 | MEDICAID (05) | NY |
Medicare Participation & PECOS Enrollment Status
Navpriya Oberoi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Navpriya Oberoi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4486708765
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090820000740
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Bacterial colony count, urine
Biopsy of lining of uterus and/or removal of polyp using an endoscope
Cervical or vaginal cancer screening; pelvic and clinical breast examination
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique
Detection test for candida species (yeast), direct probe technique
Detection test for gardnerella vaginalis (bacteria), direct probe technique
Dxa bone density measurement of hip, pelvis, spine
Electronic assessment of bladder emptying
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Limited ultrasound scan behind abdominal cavity
Limited ultrasound scan of pelvis
New patient office or other outpatient visit, 45-59 minutes
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
Ultrasound measurement of bladder capacity after voiding
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
Urinalysis, manual test
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
This service was performed 31 times for 26 patientsThis procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.
This service was performed 13 times for 13 patientsThis procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
This service was performed 114 times for 114 patientsThis test helps identify a common microscopic organism that can cause discomfort. It uses a direct probe technique, which involves analyzing a small sample from your body. The test detects the organism's unique genetic material (nucleic acid), confirming its presence.
This service was performed 11 times for 11 patientsThe detection test for Candida species uses a direct probe technique. This is a lab test where a sample is taken from your body, typically from the mouth or skin. The sample is then examined under a microscope to identify the presence of Candida, a type of yeast that can cause infection.
This service was performed 11 times for 11 patientsThis test helps find a certain type of bacteria called Gardnerella vaginalis. The direct probe technique uses a small sample from your body. This sample is then examined in a lab to see if this bacteria is present. This helps in identifying and treating any related health issues.
This service was performed 11 times for 11 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 71 times for 71 patientsElectronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
This service was performed 23 times for 23 patientsThis 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.
This service was performed 205 times for 147 patientsThis 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.
This service was performed 272 times for 208 patientsA limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
This service was performed 13 times for 12 patientsA limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
This service was performed 19 times for 17 patientsThis 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.
This service was performed 26 times for 26 patientsA Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
This service was performed 79 times for 79 patientsUltrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
This service was performed 38 times for 25 patientsAn ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
This service was performed 133 times for 109 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 85 times for 57 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.6 for a new patient copayment and $17.14 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 13066 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.57
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $17.14
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Navpriya Oberoi is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ST JOSEPH'S HOSPITAL HEALTH CENTER | 301 PROSPECT AVENUE SYRACUSE, NY 13203 | (315) 448-5111 | Acute Care Hospitals | |
CROUSE HOSPITAL | 736 IRVING AVENUE SYRACUSE, NY 13210 | (315) 470-7449 | Acute Care Hospitals | |
UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | 750 EAST ADAMS STREET SYRACUSE, NY 13210 | (315) 473-4240 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 5 | 1 | 5 | 3 | 8 | 0 | 4 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 10 | 1 | 10 | 3 | 16 | 0 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 0 + 1 + 1 + 0 + 3 + 1 + 6 + 0 + 8 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1851538045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
LALITA SEETHARAM MD
Obstetrics & Gynecology
(Gynecology)
4117 MEDICAL CENTER DR
FAYETTEVILLE, NY
ZIP 13066
RENATE N CHEVLI MD
Obstetrics & Gynecology
(Gynecology)
4117 MEDICAL CENTER DR
FAYETTEVILLE, NY
ZIP 13066
SUSAN M RANDALL-MANTELLA RNNP
Nurse Practitioner
(Family)
4117 MEDICAL CENTER DR
POD C
FAYETTEVILLE, NY
ZIP 13066
DR. MARYANN ELIZABETH MILLAR MD
Obstetrics & Gynecology
(Gynecology)
4117 MEDICAL CENTER DR
POD A
FAYETTEVILLE, NY
ZIP 13066
MARK A MCCONN MD PLLC
Family Medicine
4117 MEDICAL CENTER DR
FAYETTEVILLE, NY
ZIP 13066
DAWN M SCOTT RPA
Physician Assistant
(Medical)
4117 MEDICAL CENTER DR
POD C
FAYETTEVILLE, NY
ZIP 13066
JESSICA COE PA
Physician Assistant
4117 MEDICAL CENTER DR
POD A
FAYETTEVILLE, NY
ZIP 13066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851538045, enumerated as an "individual" on January 10, 2009.
The provider is located at 4117 MEDICAL CENTER DR POD A FAYETTEVILLE, NY 13066 and the phone number is (315) 329-4968.
Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Navpriya Oberoi is affiliated with: ST JOSEPH'S HOSPITAL HEALTH CENTER, CROUSE HOSPITAL and UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER.