PRIYA SHIVA VISHNUBHOTLA MD
NPI 1952393803
Internal Medicine - Hematology & Oncology in Conyers, GA

Q: What is Priya Vishnubhotla's NPI number?

The NPI number for Priya Vishnubhotla is 1952393803. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Priya Vishnubhotla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment

1412 MILSTEAD AVE NE STE 300, CONYERS, GA 30012(404) 918-2320 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Priya Shiva Vishnubhotla Md NPPES

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

PRIYA SHIVA VISHNUBHOTLA MD (NPI 1952393803) is an individual hematology & oncology provider in Conyers, Georgia, licensed in Georgia (95261) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1952393803

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NamePRIYA SHIVA VISHNUBHOTLACredential: MD

Location Address1412 MILSTEAD AVE NE STE 300Conyers, GA 30012-3877

Mailing Address70 W Gore St, Ste 100Orlando, FL 32806-1124 · (407) 426-8484 · Fax (407) 426-8575

Phone(404) 918-2320

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateAugust 17, 2005

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1952393803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in GA · 95261✔ Licensed in FL · ME93654

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1412 MILSTEAD AVE NE STE 300, Conyers, GA 30012

Open in Google Maps ↗

Secondary Practice Location 1

Location 170 W Gore St, Ste 100Orlando, FL 32806-1124 · Phone (407) 426-8484 · Fax (407) 426-8575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Priya Shiva Vishnubhotla 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 ID9133153588

PECOS Enrollment IDI20230510000524

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

160 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110018

Location5126 Hospital Drive NECovington, GA 30014 · Newton County

Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110074

Location1199 Prince AvenueAthens, GA 30606 · Clarke County

Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110091

Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County

Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110192

Location1700 Medical WaySnellville, GA 30078 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

DANIEL M DONATO MD

Obstetrics & Gynecology (Gynecologic Oncology)

1412 MILSTEAD AVE NE STE 300
CONYERS, GA 30012

Rockdale County (678) 806-3330

CHANDAR BHIMANI MD

Internal Medicine (Hematology & Oncology)

1412 MILSTEAD AVE NE STE 300
CONYERS, GA 30012

Rockdale County (770) 918-2320

ANTONIO TOMBO LOPEZ JR. NP

Nurse Practitioner

1412 MILSTEAD AVE NE STE 300
CONYERS, GA 30012

Rockdale County (404) 918-2320

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 Priya Vishnubhotla's NPI number?

The NPI number for Priya Vishnubhotla is 1952393803. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Priya Vishnubhotla located?

Priya Vishnubhotla practices at 1412 Milstead Ave NE Ste 300, Conyers, GA 30012. The listed phone number is (404) 918-2320.

What is Priya Vishnubhotla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Priya Vishnubhotla enrolled in Medicare?

Yes. Priya Vishnubhotla 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 Priya Vishnubhotla accept?

Health plans from Alliant Health Plans, Inc. list Priya Vishnubhotla 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 Priya Vishnubhotla affiliated with any hospitals?

According to CMS data, Priya Vishnubhotla is affiliated with Piedmont Newton Hospital, Piedmont Athens Regional Medical Center, Piedmont Rockdale Hospital, Northside Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Vishnubhotla was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.