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RAVI PIRYANI DO
NPI 1851829295
Pediatrics in Newark, NJ

Active since May 30, 2017PECOS Enrolled
201 LYONS AVE STE L5, NEWARK, NJ 07112(973) 926-3568 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2024, May 30, 2017 (2 updates tracked since 2017).

About Ravi Piryani Do NPPES

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

RAVI PIRYANI DO (NPI 1851829295) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (25MB11982700) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Upland, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2017).

NPPES Registry Identity

NPI1851829295
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAVI PIRYANICredential: DO
Location Address201 LYONS AVE STE L5Newark, NJ 07112-2027
Mailing Address379 Campus Dr Fl 4Somerset, NJ 08873-1161
Phone(973) 926-3568
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2017
Enumeration DateMay 30, 2017
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1851829295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MB11982700✔ Licensed in PA · OT017988
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
201 LYONS AVE STE L5, Newark, NJ 07112
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Secondary Practice Location 1

Location 11 MEDICAL CENTER BLVD, CROZER PEDIATRICS, POB 1, SUITE 205UPLAND, PA 19013 · Phone (610) 619-7410 · Fax (610) 876-8483

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravi Piryani Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264885011
PECOS Enrollment IDI20251008002771
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 Ravi Piryani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
3.5 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Samaritan Pediatric Services, P.C.
47 mi
Pediatrics
655 DEER PARK AVE
Babylon, NY 11702
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Samaritan Pediatric Services PC
  • 55 clinicians in this Medicare group
NPI 1730308925 (631) 321-2100

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 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

DR. COURTNEY PESHKOVSKY MD
Pediatrics (Pediatric Cardiology)
201 LYONS AVE STE L5
NEWARK, NJ 07112
Essex County (973) 926-3500

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 Ravi Piryani's NPI number?

The NPI number for Ravi Piryani is 1851829295. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Ravi Piryani located?

Ravi Piryani practices at 201 Lyons Ave Ste L5, Newark, NJ 07112. The listed phone number is (973) 926-3568.

What is Ravi Piryani's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ravi Piryani enrolled in Medicare?

Yes. Ravi Piryani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ravi Piryani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Piryani reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Samaritan Pediatric Services, P.C. (Babylon, NY). 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 Ravi Piryani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ravi Piryani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ravi Piryani 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 Ravi Piryani was last updated on May 17, 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.