Priya Ghelani
NPI 1194143529 · Emergency Medicine Physician · Dallas, TX
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Ghelani is a Emergency Medicine Physician provider in Dallas, TX (NPI 1194143529).
Provider details
- NPI number
- 1194143529
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- S8308 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
297 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 131 | $170 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 87 | $8 |
| Critical Care, First 30-74 Minutes99291 | 48 | $206 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 17 | $117 |
| Electrocardiogram (ecg) 1 to 3 Leads With Review By Physician Only93042 | 14 | $7 |
Typical Medicare-allowed amounts for these services range $7–$206 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 1400 Pelham Pkwy SBuilding 6//Suite B125Bronx, NY 10461Phone: (718) 918-5820
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2021-07-27
- Certified
- 2021-07-27
Frequently asked questions
- What is Priya Ghelani's NPI number?
- Priya Ghelani's National Provider Identifier (NPI) is 1194143529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Ghelani's specialty?
- Priya Ghelani is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Ghelani located?
- Priya Ghelani's practice location on file with NPPES is 3500 Gaston Ave, Dallas, TX 75246-2017.
- What is Priya Ghelani's phone number?
- The practice phone number listed in the NPPES registry for Priya Ghelani is (817) 820-2505.
- Does Priya Ghelani accept Medicare?
- Priya Ghelani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Ghelani's NPI active?
- Yes — Priya Ghelani's NPI (1194143529) is active in the NPPES registry as of the last update on 2021-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.