Priya Verghese, MD - Medicare Nephrology in Minneapolis, MN

Priya Verghese, MD is a medicare enrolled "Pediatrics" physician in Minneapolis, Minnesota. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Pediatric Faculty Foundation Inc and her current practice location is 420 Delaware Street Se, Mmc 491, University Of Minnesota Department Of Pediatrics, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 626-2765.

Priya Verghese is licensed to practice in Minnesota (license number 52398) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902917891.

Contact Information

Priya Verghese, MD
420 Delaware Street Se, Mmc 491, University Of Minnesota Department Of Pediatrics,
Minneapolis, MN 55455
(612) 626-2765
(612) 626-2791

Map and Direction




Physician's Profile

Full NamePriya Verghese
GenderFemale
SpecialityNephrology
Experience24 Years
Location420 Delaware Street Se, Mmc 491, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Priya Verghese graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1902917891
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 10/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4789723230
  • Enrollment ID: I20210311001868

Medical Identifiers

Medical identifiers for Priya Verghese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902917891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0210XPediatrics - Pediatric Nephrology ML20008398 (Washington)Secondary
208000000XPediatrics 52398 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ann & Robert H Lurie Childrens Hospital Of ChicagoChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pediatric Faculty Foundation Inc4789597279104

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Priya Verghese allows following entities to bill medicare on her behalf.
Entity NamePediatric Faculty Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518064716
PECOS PAC ID: 4789597279
Enrollment ID: O20031111000157

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Priya Verghese is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Priya Verghese, MD
420 Delaware Street Se, Mmc 491, University Of Minnesota Department Of Pediatrics,
Minneapolis, MN 55455

Ph: (612) 626-2765
Priya Verghese, MD
420 Delaware Street Se, Mmc 491, University Of Minnesota Department Of Pediatrics,
Minneapolis, MN 55455

Ph: (612) 626-2765

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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