DR. PRIANCA NAIK MD
NPI 1922361229
Internal Medicine in Levittown, PA

Q: What is Prianca Naik's NPI number?

The NPI number for Prianca Naik is 1922361229. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Q: What is Prianca Naik's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Prianca Naik was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment

1411 WOODBOURNE RD, LEVITTOWN, PA 19057(215) 543-2000 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Prianca Naik Md NPPES

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

DR. PRIANCA NAIK MD (NPI 1922361229) is an individual internal medicine provider in Levittown, Pennsylvania, licensed in New Jersey (25MA09757000) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2012).

NPPES Registry Identity

NPI1922361229

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRIANCA NAIKCredential: MD

Location Address1411 WOODBOURNE RDLevittown, PA 19057-1540

Mailing Address259 1st StMineola, NY 11501-3957

Phone(215) 543-2000

Sole ProprietorYes

Medical School CMSTulane University School Of MedicineGraduated 2012

Enumeration DateJune 21, 2012

Last NPPES UpdateOctober 12, 2015

✔ NPI 1922361229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA09757000

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1411 WOODBOURNE RD, Levittown, PA 19057

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Prianca Naik 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 ID1355633405

PECOS Enrollment IDI20160711000124, I20170206001568, I20240820001865

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 13

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

7,518 services482 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

1,637 services492 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.

452 services157 patients

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.

444 services275 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

121 services47 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

95 services74 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

53 services51 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

36 services36 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

34 services16 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

22 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

16 services16 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19057 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 16

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

IRINA GALARZA CRNP

Nurse Practitioner (Family)

1411 WOODBOURNE RD
LEVITTOWN, PA 19057

Bucks County (215) 943-2000

DR. LUVKARNJIT SINGH M.D.

Internal Medicine

1411 WOODBOURNE RD, SUITE A2
LEVITTOWN, PA 19057

Bucks County (215) 943-2000

JESSICA KELLY

Physical Therapist (Orthopedic)

1411 WOODBOURNE RD
LEVITTOWN, PA 19057

Bucks County (267) 630-5740

AYNUR RAHMAN MD

Internal Medicine

1411 WOODBOURNE RD
LEVITTOWN, PA 19057

Bucks County (215) 943-2000

DR. UMME FARWA MD

Internal Medicine

1411 WOODBOURNE RD
LEVITTOWN, PA 19057

Bucks County (215) 943-2000

DR. SAPAN HARESH MAJMUNDAR D.O.

Internal Medicine

1411 WOODBOURNE RD
LEVITTOWN, PA 19057

Bucks County (215) 943-2000

DEREK TRAN

Internal Medicine

1411 WOODBOURNE RD
LEVITTOWN, PA 19057

Bucks County (215) 987-4516

DR. JOBY CHACKO JACOB MD

Internal Medicine

1411 WOODBOURNE RD
LEVITTOWN, PA 19057

Bucks County (215) 943-2000

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 Prianca Naik's NPI number?

The NPI number for Prianca Naik is 1922361229. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Prianca Naik located?

Prianca Naik practices at 1411 Woodbourne Rd, Levittown, PA 19057. The listed phone number is (215) 543-2000.

What is Prianca Naik's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prianca Naik enrolled in Medicare?

Yes. Prianca Naik 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 Prianca Naik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Prianca Naik 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 Prianca Naik was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.