Priyanka Halani, M.D.
NPI 1023469079 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyanka Halani, M.D. is a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician provider in La Jolla, CA (NPI 1023469079).
Provider details
- NPI number
- 1023469079
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A181769 (CA)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense A181769 (CA)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,669 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 379 | $137 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 203 | $13 |
| Insertion of Lower Leg Neurostimulator Electrode64566 | 166 | $133 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 160 | $192 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 147 | $177 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 154 | 109 |
| Vibegronbrand: Gemtesa | 128 | 41 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 106 | 61 |
| Mirabegronbrand: Myrbetriq | 98 | 42 |
| Oxycodone Hcl | 27 | 26 |
| Clobetasol Propionate | 24 | 18 |
| Cephalexin | 16 | 12 |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$340 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-30
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Priyanka Halani's NPI number?
- Priyanka Halani's National Provider Identifier (NPI) is 1023469079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priyanka Halani's specialty?
- Priyanka Halani is listed in the NPPES registry with a primary specialty of Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Allopathic & Osteopathic Physicians).
- Where is Priyanka Halani located?
- Priyanka Halani's practice location on file with NPPES is 9898 Genesee Ave, La Jolla, CA 92037-1205.
- What is Priyanka Halani's phone number?
- The practice phone number listed in the NPPES registry for Priyanka Halani is (858) 824-4100.
- Does Priyanka Halani accept Medicare?
- Priyanka Halani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priyanka Halani's NPI active?
- Yes — Priyanka Halani's NPI (1023469079) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.