KANIKA MATHUR M.D.
NPI 1043578404
Pediatrics - Pediatric Cardiology in Denver, CO

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2055 N HIGH ST STE 255, DENVER, CO 80205(303) 860-9933 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2023, Feb 15, 2023, Sep 28, 2022 and 1 more (4 updates tracked since 2018).

About Kanika Mathur M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANIKA MATHUR M.D. (NPI 1043578404) is an individual pediatric cardiology provider in Denver, Colorado, licensed in Colorado (DR.0067489) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Saint Louis University School Of Medicine (2012).

NPPES Registry Identity

NPI1043578404
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameKANIKA MATHURCredential: M.D.
Location Address2055 N HIGH ST STE 255Denver, CO 80205-5663
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateMay 15, 20234 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
NPI 1043578404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses Licensed in CO · DR.0067489 Licensed in NY · 280106
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

2055 N HIGH ST STE 255, Denver, CO 80205

Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kanika Mathur M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870844483
PECOS Enrollment IDI20230525002445
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043578404, enumerated as an "individual" on April 23, 2012.

The provider is located at 2055 N HIGH ST STE 255 DENVER, CO 80205 and the phone number is (303) 860-9933.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.