DR. PRIYANKA HEMANT PATEL (M.D.) – Internal Medicine Physician, NPI 1275945230
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
Provider Addresses for DR. PRIYANKA HEMANT PATEL (M.D.)
36485 INLAND VALLEY DR
WILDOMAR, CA 925959681
Phone: (510) 517-8755
Type: Mailing
559 MONTEGO TER
SUNNYVALE, CA 940891594
Phone: (510) 517-8755
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $284.
Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($252).
Total Amount
$284
General + Research + Ownership
Payments
5
Total payment records
General Amount
$284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $252 |
| Shionogi Inc | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180829004166 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 127 | 75 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 65 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 34 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 44 | 44 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 24 | 24 | $0 |
Insurance plans in this area (ZIP 92595)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| Internal Medicine, Nephrology | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| Internal Medicine, Pulmonary Disease | CA | |
| Internal Medicine | CA | |
| Hospitalist, Internal Medicine | TN | |
| Internal Medicine | CA | |
| Nurse Practitioner | IL | |
| Internal Medicine | CA |
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