Active NPI 1013336171 Individual Practitioner Female Practitioner

Dr. Priya Vikash Negandhi , MD

Internal Medicine • Stuart, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Priya Negandhi, MD is a certified Internal Medicine practicing in Stuart, FL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Negandhi delivers high-quality medical care to the local community at 200 SE HOSPITAL AVE.

Dr. Negandhi is affiliated with Martin Memorial Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include innovamatrix ac, per square centimeter, application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Se Hospital Ave

Stuart, FL 349942346

Telephone 7722235618

Fax 7722885834

Associated Practice Facility / Clinic

🏢 Diagnostic Imaging Services Inc Facility NPI 1255301354

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Stuart, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -7.9 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

102 Specialists

Practicing in Stuart, FL (10650 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Negandhi (12 Years) 12 Yrs

Stuart Specialty Average (19.9 Years) 19.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A2001 Innovamatrix ac, per square centimeter	2,418	31	$1900.00	$1181.28
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	167	33	$676.00	$160.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	149	70	$336.00	$81.09
99239 Hospital discharge day management, more than 30 minutes	47	47	$450.00	$117.07
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	18	18	$287.66	$79.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	55	$211.25	$82.63
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	82	19	$408.98	$161.94
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	44	11	$118.64	$45.84
99239 Hospital discharge day management, more than 30 minutes	28	28	$320.75	$119.60
99341 New patient home visit, typically 20 minutes	11	11	$140.00	$49.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	295	147	$236.00	$74.25
99239 Hospital discharge day management, more than 30 minutes	76	76	$377.00	$109.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	395	180	$342.00	$108.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	97	$234.00	$75.88
99239 Hospital discharge day management, more than 30 minutes	144	143	$373.00	$111.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$527.00	$209.43
99217 Hospital observation care on day of discharge	31	31	$234.00	$75.78
99220 Hospital observation care, typically 70 minutes	19	19	$490.00	$191.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$223.00	$55.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	416	193	$342.00	$111.26
99239 Hospital discharge day management, more than 30 minutes	151	148	$373.00	$112.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	58	$234.00	$77.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$527.00	$217.09
99217 Hospital observation care on day of discharge	20	20	$234.00	$77.73
99220 Hospital observation care, typically 70 minutes	18	18	$490.00	$198.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$223.00	$56.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	335	169	$234.00	$75.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	328	162	$342.00	$108.21
99239 Hospital discharge day management, more than 30 minutes	165	154	$373.00	$110.95
99217 Hospital observation care on day of discharge	105	105	$234.00	$75.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	73	$527.00	$210.36
99220 Hospital observation care, typically 70 minutes	72	70	$490.00	$193.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	24	$223.00	$54.94
99226 Subsequent observation care, typically 35 minutes per day	12	11	$167.00	$108.63
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$627.00	$226.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	756	321	$234.00	$73.77
99239 Hospital discharge day management, more than 30 minutes	226	221	$373.00	$108.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	83	$342.00	$105.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	125	119	$527.00	$205.86
99217 Hospital observation care on day of discharge	73	73	$234.00	$73.88
99220 Hospital observation care, typically 70 minutes	50	49	$490.00	$188.91
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	28	$223.00	$53.92
99225 Subsequent observation care, typically 25 minutes per day	18	18	$116.00	$73.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$434.00	$139.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	71	$234.00	$74.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	42	$342.00	$108.52
99239 Hospital discharge day management, more than 30 minutes	57	57	$373.00	$111.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$527.00	$211.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME132504

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

022141900 (FL)

Commercial Insurance / Payer ID Florida Blue

TC8DN (FL)

Hospital & Practice Group Affiliations

Martin Memorial Medical Center Inc

200 Se Hospital Ave, Stuart, FL 349942346

Phone: 7722235665

Secondary Practice Locations

2500 Metrohealth Dr

Cleveland, OH 441091900

Phone: 2167784486

2500 Metrohealth Dr

Cleveland, OH 441091900

Phone: 2167784486

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kelli Nelson , APRN

Nurse Practitioner

NPI 1033501036

Advanced Practice Registered Nurse

Yvette Cruz , PA-C

Physician Assistant

NPI 1043354285

Physician Assistant (Certified)

Dr. Ajita Kundaikar , MD

Internal Medicine

NPI 1043412281

Doctor of Medicine (M.D.)

Verona Stewart

Nurse Practitioner - Family

NPI 1043619612

Dr. Ahmed Khalafalla , MD

Internal Medicine

NPI 1043897119

Doctor of Medicine (M.D.)

Dr. Adam Dahlen , DO

Internal Medicine

NPI 1053760249

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

✅

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2018

Registered at 200 SE HOSPITAL AVE, STUART, FL 349942346 (Tel: 7722235618)

📍

Updated Business Mailing Address January 29, 2018

Registered at PO BOX 417, STUART, FL 349950417 (Tel: 7722232832)

👤

Provider Name / Credentials Updated January 29, 2018

Recorded as PRIYA NEGANDHI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Internal Medicine (License #ME132504 in FL)

👤

Provider Name / Credentials Updated January 24, 2017

Recorded as PRIYA NEGANDHI, MD

✅

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2014

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167784486)

📍

Updated Business Mailing Address April 15, 2014

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167784486)

👤

Provider Name / Credentials Updated April 15, 2014

Recorded as PRIYA PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013336171

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 15, 2014

Last Update: November 12, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 417

Stuart, FL 349950417

Phone: 7722232832

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.