Priti Pandya, MD
NPI 1316910615 · Gastroenterology Physician · Smyrna, GA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priti Pandya, MD is a Gastroenterology Physician provider in Smyrna, GA (NPI 1316910615).
Provider details
- NPI number
- 1316910615
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 054081 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
659 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 | 184 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 83 | $92 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 80 | $160 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 73 | $99 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 73 | $79 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 376 | 134 |
| Famotidine | 247 | 78 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 134 | 129 |
| Omeprazole | 69 | 25 |
| Sucralfate | 56 | 19 |
| Linaclotidebrand: Linzess | 53 | 14 |
| Ondansetronbrand: Ondansetron Odt | 52 | 24 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$521 across 18 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
- 2006-02-08
- Last updated
- 2018-05-31
Frequently asked questions
- What is Priti Pandya's NPI number?
- Priti Pandya's National Provider Identifier (NPI) is 1316910615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priti Pandya's specialty?
- Priti Pandya is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Priti Pandya located?
- Priti Pandya's practice location on file with NPPES is 4441 Atlanta Rd Se Ste 204, Smyrna, GA 30080.
- What is Priti Pandya's phone number?
- The practice phone number listed in the NPPES registry for Priti Pandya is (678) 741-5000.
- Does Priti Pandya accept Medicare?
- Priti Pandya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priti Pandya's NPI active?
- Yes — Priti Pandya's NPI (1316910615) is active in the NPPES registry as of the last update on 2018-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.