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PRIYANKA B TULSHIAN MD
NPI 1881987063
Family Medicine in Martinez, CA

Active since May 23, 2011PECOS EnrolledAccepts Medicare Assignment
331 ILENE ST, MARTINEZ, CA 94553(908) 627-1529 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2023, Oct 20, 2022, Nov 4, 2019 (3 updates tracked since 2019).

About Priyanka B Tulshian Md NPPES

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

PRIYANKA B TULSHIAN MD (NPI 1881987063) is an individual family medicine provider in Martinez, California, licensed in California (A130930) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Creek, and is a graduate of Albany Medical College Of Union University (2011).

NPPES Registry Identity

NPI1881987063
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRIYANKA B TULSHIANCredential: MD
Location Address331 ILENE STMartinez, CA 94553-2631
Mailing Address284 Calle La MesaMoraga, CA 94556-1646 · (908) 627-1529
Phone(908) 627-1529
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2011
Enumeration DateMay 23, 2011
Last NPPES UpdateFebruary 17, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1881987063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A130930
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
331 ILENE ST, Martinez, CA 94553
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Secondary Practice Location 1

Location 11450 Treat Blvd # 160Walnut Creek, CA 94597 · Phone (925) 296-9000

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 B Tulshian 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 ID6901038728
PECOS Enrollment IDI20191204002423
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
301 services40 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
170 services31 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
29 services11 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services24 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
23 services23 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94553 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 3

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

MARTINEZ HEALTHCARE CENTER, LLC
Skilled Nursing Facility
331 ILENE ST
MARTINEZ, CA 94553
Contra Costa County (925) 228-2020
MARTINEZ SNF HEALTHCARE, LLC
Skilled Nursing Facility
331 ILENE ST
MARTINEZ, CA 94553
Contra Costa County (925) 228-2020
POSITIVE & VIGILANT HEALTHCARE INC
Skilled Nursing Facility
331 ILENE ST
MARTINEZ, CA 94553
Contra Costa County (925) 228-2020

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 Tulshian's NPI number?

The NPI number for Priyanka Tulshian is 1881987063. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Priyanka Tulshian located?

Priyanka Tulshian practices at 331 Ilene St, Martinez, CA 94553. The listed phone number is (908) 627-1529.

What is Priyanka Tulshian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priyanka Tulshian enrolled in Medicare?

Yes. Priyanka Tulshian 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.

When was this NPI record last updated?

The NPPES record for Priyanka Tulshian was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.