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NIDHI PRIYA
NPI 1962011080
Dentist - General Practice in Marion, IL

Active since July 24, 2020PECOS Enrolled
3115 WILLIAMSON COUNTY PKWY, MARION, IL 62959(618) 519-9200(618) 997-1214 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Jul 24, 2020 (2 updates tracked since 2020).

About Nidhi Priya NPPES

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

NIDHI PRIYA (NPI 1962011080) is an individual general practice provider in Marion, Illinois, licensed in Illinois (019032833) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962011080
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNIDHI PRIYA
Location Address3115 WILLIAMSON COUNTY PKWYMarion, IL 62959-5235
Mailing Address109 California St, Po Box 577Carterville, IL 62918-0577 · (618) 519-9200
Phone(618) 519-9200
Fax(618) 997-1214
Sole ProprietorYes
Enumeration DateJuly 24, 2020
Last NPPES UpdateMay 10, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1962011080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019032833
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3115 WILLIAMSON COUNTY PKWY, Marion, IL 62959
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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)

Nidhi Priya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 4

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

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Clinic/Center (Federally Qualified Health Center (FQHC))
3115 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 969-8600
CARRIE ANN YOUNG RDH
Dental Hygienist
3115 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 519-9200
DR. EUN JIN LEE D.D.S
Dentist (General Practice)
3115 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 969-8600
BRADLEY COX DMD
Dentist (General Practice)
3115 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 969-8600

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 Nidhi Priya's NPI number?

The NPI number for Nidhi Priya is 1962011080. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Nidhi Priya located?

Nidhi Priya practices at 3115 Williamson County Pkwy, Marion, IL 62959. The listed phone number is (618) 519-9200.

What is Nidhi Priya's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nidhi Priya enrolled in Medicare?

Yes. Nidhi Priya is registered in the Medicare PECOS enrollment system.

What insurance does Nidhi Priya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Nidhi Priya 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 Nidhi Priya was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.