1. Home
  2. Directory
  3. Colorado
  4. Denver
  5. Pediatrics
  6. NPI Profile

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

Active since April 23, 2012PECOS Enrolled
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: August 16, 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.

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
Phone(303) 860-9933
Sole ProprietorNo
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanika Mathur M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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
Scored through an Alternative Payment Model
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.

DR. DAVID JOHN MILLER M.D.
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Denver County (303) 860-9933
MICHAEL VINCENT DIMARIA M.D.
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Denver County (303) 860-9933
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Denver County (303) 860-9933
DR. JASON MICHAEL GARNREITER M.D.
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Denver County (303) 860-9933
IAN LAWRENCE MILLIGAN MD
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Denver County (303) 860-9933
DR. RICHARD EMMETT FRYE MD
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Denver County (303) 860-9933
DR. AMIT RAMESH PATANGE MD
Pediatrics (Pediatric Cardiology)
2055 N HIGH ST STE 255
DENVER, CO 80205
Denver County (303) 860-9933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanika Mathur's NPI number?

The NPI number for Kanika Mathur is 1043578404. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Kanika Mathur located?

Kanika Mathur practices at 2055 N High St Ste 255, Denver, CO 80205. The listed phone number is (303) 860-9933.

What is Kanika Mathur's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kanika Mathur enrolled in Medicare?

Yes. Kanika Mathur is registered in the Medicare PECOS enrollment system.

What insurance does Kanika Mathur accept?

Health plans from Medica and UnitedHealthcare list Kanika Mathur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kanika Mathur was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.