Individual provider Active NPI

Priyanka Kancherla, MD

  • Urology Physician
  • Rockville, MD
National Provider Identifier
1669909669
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0094997 Issued in MD
Practice address
9420 Key West Ave Ste 420
Rockville, MD 20850-6509
Phone
(301) 258-1919
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D0094997 MD Primary

Addresses

Primary practice location

9420 Key West Ave Ste 420
Rockville, MD 20850-6509

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220912001404 DC Practitioner - Urology 3173869880 Reassigns benefits to 1 organization
I20230616000849 MD Practitioner - Urology 3173869880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of Ny Upstate Medical University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 598-9171

6410 Rockledge Dr
Suite 503
Bethesda, MD 20817-7822
Phone (301) 530-1700

9420 Key W Ave
Suite 420
Rockville, MD 20850-6509
Phone (301) 258-1919

Hospital & facility affiliations

  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates LLC Urology CurrentSince Jul 8, 2022 Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Jul 8, 2022 Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince May 8, 2023 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

Interoperability endpoints

  • Direct secure messaging: priyankakancherla@tsicua.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1669909669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 420",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506509",
            "telephone_number": "301-258-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-6361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANCHERLA",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0094997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.