PRIYA PULLUKAT BHATTACHARYYA (M.D.) – Family Medicine Physician, NPI 1821289315

PRIYA PULLUKAT BHATTACHARYYA (M.D.) is a healthcare provider. based in Lansing, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036-121103 (IL). The NPI Number for PRIYA PULLUKAT BHATTACHARYYA (M.D.) is 1821289315

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
PRIYA PULLUKAT BHATTACHARYYA (M.D.)
NPI
1821289315
Phone
(517) 913-6711
Address
1540 LAKE LANSING RD STE 203
Enumeration Date
8 August 2007
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
5179136711
Graduation Year
2005 (21 years ago)
PAC ID
5698843290
Group Practice PAC ID
0648277830
Professional Enrollment ID
I20231020001239
Address ID
MI489123757LA1540XRDXX411
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for PRIYA PULLUKAT BHATTACHARYYA (M.D.)

  • 1540 LAKE LANSING RD STE 203

    LANSING, MI 489123757

    Phone: (517) 913-6711

    Fax: (517) 913-6712

    Type: Location

  • 6700, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604532199

    Phone: (708) 974-7300

    Fax: (708) 229-6086

    Type: Location

  • 210 HOLMES AVE

    CLARENDON HILLS, IL 605141418

    Phone: (312) 237-7606

    Fax: (517) 913-6712

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: ABIOMED ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$41
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: 2023-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081009000404IFamily PracticeILTBD
I20231020001239IFamily PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48912)

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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: 0648277830View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
-MI
Family PracticeMI
Physician AssistantMI
Physician AssistantOH
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI

Reviews

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Frequently asked questions

What unique ID ties claims to PRIYA PULLUKAT BHATTACHARYYA (M.D.)?
NPI 1821289315 is assigned to PRIYA PULLUKAT BHATTACHARYYA (M.D.) under the national enumeration system.
Is PRIYA PULLUKAT BHATTACHARYYA (M.D.)'s NPI currently valid?
The extract we use shows PRIYA PULLUKAT BHATTACHARYYA (M.D.) as active.
Does PRIYA PULLUKAT BHATTACHARYYA (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for PRIYA PULLUKAT BHATTACHARYYA (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for PRIYA PULLUKAT BHATTACHARYYA (M.D.)?
We surface Lansing, Michigan for PRIYA PULLUKAT BHATTACHARYYA (M.D.) based on available NPPES addresses.
What if Lansing, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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