PRIYA SHIVA VISHNUBHOTLA (MD) – Hematology & Oncology Physician, NPI 1952393803

PRIYA SHIVA VISHNUBHOTLA (MD) is a healthcare provider. based in Orlando, Florida. specializing in INTERNAL MEDICINE, HEMATOLOGY, MEDICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME93654 (FL). The NPI Number for PRIYA SHIVA VISHNUBHOTLA (MD) is 1952393803

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
PRIYA SHIVA VISHNUBHOTLA (MD)
NPI
1952393803
Phone
(407) 426-8484
Address
70 W GORE ST
Enumeration Date
17 August 2005
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4049182320
Graduation Year
1998 (28 years ago)
PAC ID
9133153588
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20230510000524
Address ID
GA300123877CO1412XNEXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for PRIYA SHIVA VISHNUBHOTLA (MD)

  • 70, Gore Street, Orlando, Orange County, Florida, 32806, United States

    STE 100

    ORLANDO, FL 328061124

    Phone: (407) 426-8484

    Fax: (407) 426-8575

    Type: Mailing

  • 1412 MILSTEAD AVE NE STE 300

    CONYERS, GA 300123877

    Phone: (404) 918-2320

    Type: Location

  • 70 W Gore St

    Ste 100

    Orlando, FL 328061124

    Phone: (407) 426-8484

    Fax: (407) 426-8575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($52).

Total Amount

$197

General + Research + Ownership

Payments

8

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-05-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230510000524IInternal MedicineGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10746$0
99213Established patient office or other outpatient visit, 20-29 minutes3528$0
99215Established patient office or other outpatient visit, 40-54 minutes3022$0
View full utilization report →

Insurance plans in this area (ZIP 32806)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830082825View full group profile
NameSpecialtyState
General SurgeryGA
Nurse PractitionerGA
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineGA
-GA
Nurse PractitionerGA
-GA
General SurgeryGA
Surgical OncologyWA
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric MedicineGA

Reviews

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Frequently asked questions

Does PRIYA SHIVA VISHNUBHOTLA (MD) have a public NPI I can cite?
Public records show PRIYA SHIVA VISHNUBHOTLA (MD) under NPI 1952393803.
Is PRIYA SHIVA VISHNUBHOTLA (MD)'s NPI status active today?
Active status means PRIYA SHIVA VISHNUBHOTLA (MD)'s NPI record is not deactivated in the public file.
What does the directory say PRIYA SHIVA VISHNUBHOTLA (MD) does?
Insurance directories may phrase it differently, but here PRIYA SHIVA VISHNUBHOTLA (MD) maps to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is PRIYA SHIVA VISHNUBHOTLA (MD) tied to Orlando, Florida?
If you are local to Orlando, Florida, PRIYA SHIVA VISHNUBHOTLA (MD) may be relevant to your search.
Can I export PRIYA SHIVA VISHNUBHOTLA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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