PRIYANKA TIWARI (MD) – Gastroenterology Physician, NPI 1295837441
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
489 GASTROENTEROLOGY in MO
Provider Addresses for PRIYANKA TIWARI (MD)
15945 Clayton Rd Ste 220
Ballwin, MO 630112491
Phone: (314) 251-3880
Type: Location
621 S New Ballas Rd Ste 584A
Saint Louis, MO 631418261
Phone: (314) 251-3600
Type: Location
11155 DUNN RD STE 309E
SAINT LOUIS, MO 631366111
Phone: (314) 953-8799
Type: Mailing
200 Brevco Plz Ste 208
Lake St Louis, MO 633672950
Phone: (636) 561-9020
Type: Location
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 631418221
Phone: (314) 251-2880
Type: Mailing
Dunn Road, Riverview, Spanish Lake, Saint Louis County, Missouri, 63138, United States
SAINT LOUIS, MO 631366148
Phone: (314) 953-8799
Fax: (314) 953-8798
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-01-24
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 |
|---|---|---|---|---|
| I20200124000072 | I | Gastroenterology | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 63011)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | ND | 45385 | Removal of polyps or growths of large bowel using an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MO | |
| - | MO | |
| G A S T R O E N T E R O L O G Y | NC | |
| General Surgery | MO | |
| G A S T R O E N T E R O L O G Y | MO | |
| Gastroenterology, Internal Medicine | MO | |
| G A S T R O E N T E R O L O G Y | MO | |
| - | MO | |
| Gastroenterology, Internal Medicine | MO | |
| G A S T R O E N T E R O L O G Y | MO |
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