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PRIYANKA GWALANI
NPI 1972958247
Internal Medicine in Fremont, CA

Active since April 25, 2016PECOS Enrolled
656 MOWRY AVE., FREMONT, CA 94536(510) 818-9237 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2025, Aug 27, 2019, Jul 3, 2019 (3 updates tracked since 2019).

About Priyanka Gwalani NPPES

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

PRIYANKA GWALANI (NPI 1972958247) is an individual internal medicine provider in Fremont, California, licensed in California (A161688) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2016).

NPPES Registry Identity

NPI1972958247
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYANKA GWALANI
Location Address656 MOWRY AVE.Fremont, CA 94536
Mailing Address656 Mowry AveFremont, CA 94536-4113 · (510) 818-9237 · Fax (510) 818-9222
Phone(510) 818-9237
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1972958247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A161688
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.
656 MOWRY AVE., Fremont, CA 94536
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9830485416
PECOS Enrollment IDI20250919002578
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 Reassignment

Medicare enrollment records show Priyanka Gwalani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fremont Pain Treamtment Center
Same address
Specialist
656 MOWRY AVE
Fremont, CA 94536
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1083950380 (510) 818-9237

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94536 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Gwalani's NPI number?

The NPI number for Priyanka Gwalani is 1972958247. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Priyanka Gwalani located?

Priyanka Gwalani practices at 656 Mowry Ave., Fremont, CA 94536. The listed phone number is (510) 818-9237.

What is Priyanka Gwalani's specialty?

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

Is Priyanka Gwalani enrolled in Medicare?

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

Which organization bills Medicare for Priyanka Gwalani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Gwalani reassigns Medicare benefits to Fremont Pain Treamtment Center (Fremont, CA). The 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 Gwalani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priyanka Gwalani was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.