DR. PRIYA KANWAR MD
NPI 1952531295
Internal Medicine in Seattle, WA

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
2671 NE 46TH ST, SEATTLE, WA 98105(206) 525-8000(206) 525-8070 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Priya Kanwar Md NPPES

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

DR. PRIYA KANWAR MD (NPI 1952531295) is an individual internal medicine provider in Seattle, Washington, licensed in Washington (MD60231926) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1952531295
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRIYA KANWARCredential: MD
Location Address2671 NE 46TH STSeattle, WA 98105-5041
Mailing Address1100 9th Ave, M4-pfsSeattle, WA 98101-2756 · (206) 515-5811 · Fax (206) 341-0274
Fax(206) 525-8070
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 21, 2009
Last NPPES UpdateFebruary 13, 2020
✔ NPI 1952531295 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 WA · MD60231926
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.
2671 NE 46TH ST, Seattle, WA 98105

Secondary Practice Location 1

Location 1104 W 5th Ave, Suite 200WSpokane, WA 99204-4839 · Phone (509) 744-3750 · Fax (509) 744-3969

Other Identifiers 1

Other00WA · Resident

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Priya Kanwar 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 ID4688824428
PECOS Enrollment IDI20121101000253
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

2

Medicare enrollment records show Priya Kanwar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
2671 NE 46TH ST
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • 1,021 clinicians in this Medicare group
Skilled Nursing Facility
2717 DEXTER AVE, QUEEN ANNE HEALTHCARE
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 915 clinicians in this Medicare group

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 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.
62 services62 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.
32 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500005
Location925 Seneca StSeattle, WA 98101 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%81 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pediatrics
2671 NE 46TH ST
SEATTLE, WA 98105
Pediatrics
2671 NE 46TH ST
SEATTLE, WA 98105
Psychiatry & Neurology (Psychiatry)
2671 NE 46TH ST
SEATTLE, WA 98105
Pediatrics
2671 NE 46TH ST
SEATTLE, WA 98105
Physician Assistant
2671 NE 46TH ST
SEATTLE, WA 98105
Pediatrics
2671 NE 46TH ST
SEATTLE, WA 98105
Allergy & Immunology
2671 NE 46TH ST
SEATTLE, WA 98105
Social Worker (Clinical)
2671 NE 46TH ST
SEATTLE, WA 98105

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 Kanwar's NPI number?

The NPI number for Priya Kanwar is 1952531295. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Priya Kanwar located?

Priya Kanwar practices at 2671 NE 46th St, Seattle, WA 98105. The listed phone number is (206) 525-8000.

What is Priya Kanwar's specialty?

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

Is Priya Kanwar enrolled in Medicare?

Yes. Priya Kanwar 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.

Which organizations bill Medicare for Priya Kanwar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Kanwar reassigns Medicare benefits to 2 organizations: Virginia Mason Medical Center (Seattle, WA) and South Sound Inpatient Physicians PLLC (Seattle, WA). 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 Priya Kanwar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Kanwar accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Priya Kanwar 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 Kanwar affiliated with any hospitals?

According to CMS data, Priya Kanwar is affiliated with Virginia Mason Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Kanwar was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.