Priyanka Pophali, MD
NPI 1245598101 · Hematology & Oncology Physician · Madison, WI
Enrolled with Medicare as Practitioner - Hematology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyanka Pophali, MD is a Hematology & Oncology Physician provider in Madison, WI (NPI 1245598101).
Provider details
- NPI number
- 1245598101
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 57.020726 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 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
516 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 158 | $109 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 103 | $90 |
| 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'SG2211 | 98 | $15 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $61 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 32 | $9 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acyclovir | 226 | 52 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 98 | 23 |
| Famotidine | 64 | 18 |
| Zanubrutinibbrand: Brukinsa | 35 | — |
| Prednisone | 33 | 13 |
| Ondansetron Hcl | 27 | 21 |
| Acalabrutinib Maleatebrand: Calquence | 25 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$12,423 across 8 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
- 2012-04-30
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Frequently asked questions
- What is Priyanka Pophali's NPI number?
- Priyanka Pophali's National Provider Identifier (NPI) is 1245598101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priyanka Pophali's specialty?
- Priyanka Pophali is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Priyanka Pophali located?
- Priyanka Pophali's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792-0001.
- What is Priyanka Pophali's phone number?
- The practice phone number listed in the NPPES registry for Priyanka Pophali is (608) 265-1700.
- Does Priyanka Pophali accept Medicare?
- Priyanka Pophali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priyanka Pophali's NPI active?
- Yes — Priyanka Pophali's NPI (1245598101) is active in the NPPES registry as of the last update on 2021-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.