Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Priyanka Costa Hennis, MD

Individual provider Family Medicine Physician · NPI 1346682291

Priyanka Costa Hennis, MD is a Family Practice in Phoenix, Arizona. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Arizona, North Carolina and Ohio.

Years since qualifying
14
Licensed in
AZ, NC, OH
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3811 E Bell Rd Ste 106
Phoenix, AZ 85032-2158
Phone: (602) 443-1085
Fax: (602) 443-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 62955 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence 35136107 (OH)
Hospitalist Physician Taxonomy 208M00000X · Licence 2016-01798 (NC)

Record details

NPI number1346682291
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2013
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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