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PRIYANKA PATIL M.D.
NPI 1942681853
Pathology - Anatomic Pathology & Clinical Pathology in Valhalla, NY

Active since June 16, 2015PECOS Enrolled
100/100
CMS Quality Rating
100 WOODS RD, VALHALLA, NY 10595(914) 909-9018 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2021, Jan 7, 2020 (2 updates tracked since 2020).

About Priyanka Patil M.d. NPPES

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

PRIYANKA PATIL M.D. (NPI 1942681853) is an individual anatomic pathology & clinical pathology provider in Valhalla, New York, licensed in New York (303157) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1942681853
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NamePRIYANKA PATILCredential: M.D.
Location Address100 WOODS RDValhalla, NY 10595-1530
Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018
Phone(914) 909-9018
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 16, 2015
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1942681853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NY · 303157
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
100 WOODS RD, Valhalla, NY 10595
Open in Google Maps ↗

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-8524

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1850630781
PECOS Enrollment IDI20200420001507
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

4

Medicare enrollment records show Priyanka Patil reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC
Same address
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844
Montefiore New Rochelle Hospital
9.0 mi
General Acute Care Hospital
100 CORPORATE DR, PROVIDER INFORMATION
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1295163244 (914) 377-4722
Montefiore Mount Vernon Hospital
12 mi
General Acute Care Hospital
12 N 7TH AVE
Mount Vernon, NY 10550
  • Reassigned Medicare billing, New York enrollment
  • 140 clinicians in this Medicare group
NPI 1013345065 (914) 664-8000
Montefiore Medical Center
15 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
611 services219 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
87 services71 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
64 services22 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
30 services27 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
24 services20 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

MRS. LISA ANN SAUER N.P.
Nurse Practitioner (Neonatal, Critical Care)
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KAREN FRANCOIS MD
Anesthesiology
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KIMBERLY WILSON R.D.
Dietitian, Registered
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7664
RADHIKA VOLETI M.D
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
FAREENA NAWAZ MD
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
AUSTIN B CARPENTER
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-8795
AMRO AGLAN MD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
HAO WANG MD, PHD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-6613

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 Patil's NPI number?

The NPI number for Priyanka Patil is 1942681853. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Priyanka Patil located?

Priyanka Patil practices at 100 Woods Rd, Valhalla, NY 10595. The listed phone number is (914) 909-9018.

What is Priyanka Patil's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Priyanka Patil enrolled in Medicare?

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

Which organizations bill Medicare for Priyanka Patil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Patil reassigns Medicare benefits to 4 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Montefiore New Rochelle Hospital (Yonkers, NY), Montefiore Mount Vernon Hospital (Mount Vernon, NY) and Montefiore Medical Center (Bronx, 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 Priyanka Patil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Priyanka Patil affiliated with any hospitals?

According to CMS data, Priyanka Patil is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Priyanka Patil was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.