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PRIYANKA EDARA M.D.
NPI 1932413630
Internal Medicine in Dayton, OH

Active since August 05, 2010PECOS Enrolled
75/100
CMS Quality Rating
33 W RAHN RD, DAYTON, OH 45429(937) 433-8990(937) 433-8691 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Priyanka Edara M.d. NPPES

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

PRIYANKA EDARA M.D. (NPI 1932413630) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35.120485) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932413630
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYANKA EDARACredential: M.D.
Location Address33 W RAHN RDDayton, OH 45429-2213
Mailing Address33 W Rahn RdDayton, OH 45429-2213 · (937) 433-8990 · Fax (937) 433-8691
Phone(937) 433-8990
Fax(937) 433-8691
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 5, 2010
Last NPPES UpdateJanuary 24, 2014
✔ NPI 1932413630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.120485
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
33 W RAHN RD, Dayton, OH 45429
Open in Google Maps ↗

Other Identifiers 2

Medicare PINH217560OH
Medicaid0086343OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priyanka Edara M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557502887
PECOS Enrollment IDI20171220001431, I20260331003968
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 5

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 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.
1,108 services262 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.
187 services177 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
83 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims37 services$17.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers49 claims49 services$84.80 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MUHAMMAD SHAHID MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DANIEL L BUTNARIU MD
Internal Medicine (Critical Care Medicine)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
SHRUTI HITENDRABHAI PATEL MD
Internal Medicine (Infectious Disease)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
NAEL SALEH MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
VALERIE ADESUWA ALIU MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
EILEEN RITA PAPE R.N.
Specialist
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
MOIRA B HEALY PA
Physician Assistant
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. CRYSTAL BREIGHNER M.D.
Internal Medicine (Critical Care Medicine)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990

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 Edara's NPI number?

The NPI number for Priyanka Edara is 1932413630. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Priyanka Edara located?

Priyanka Edara practices at 33 W Rahn Rd, Dayton, OH 45429. The listed phone number is (937) 433-8990.

What is Priyanka Edara's specialty?

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

Is Priyanka Edara enrolled in Medicare?

Yes. Priyanka Edara is registered in the Medicare PECOS enrollment system.

What insurance does Priyanka Edara accept?

Health plans from AvMed and Molina Healthcare list Priyanka Edara 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 Priyanka Edara affiliated with any hospitals?

According to CMS data, Priyanka Edara is affiliated with Hca Florida Lake City Hospital, Hca Florida North Florida Hospital and Memorial Hospital Of Converse County.

When was this NPI record last updated?

The NPPES record for Priyanka Edara was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.