KANIKA JAGGI MD
NPI 1073954962
Family Medicine in Fort Wayne, IN

Active since July 09, 2013PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
5717 S ANTHONY BLVD, SUITE 300, FORT WAYNE, IN 46806(260) 425-2690(260) 425-2691 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2020, Aug 12, 2016 (2 updates tracked since 2016).

About Kanika Jaggi Md NPPES

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

KANIKA JAGGI MD (NPI 1073954962) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01076756A) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073954962
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKANIKA JAGGICredential: MD
Location Address5717 S ANTHONY BLVD, SUITE 300Fort Wayne, IN 46806-3386
Mailing Address5717 S Anthony Blvd, Suite 300Fort Wayne, IN 46806-3386 · (260) 425-2690 · Fax (260) 425-2691
Fax(260) 425-2691
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 9, 2013
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
NPI 1073954962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01076756A Licensed in MI · 4301103736
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301103736 (MI)
5717 S ANTHONY BLVD, Fort Wayne, IN 46806

Other Identifiers 1

Medicaid201359770IN

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 Jaggi Md 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 ID7618109448
PECOS Enrollment IDI20160726000383
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services72 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
25 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.04
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.

Family Medicine
5717 S ANTHONY BLVD, SUITE 100
FORT WAYNE, IN 46806
Family Medicine
5717 S ANTHONY BLVD, SUITE 600
FORT WAYNE, IN 46806
Family Medicine
5717 S ANTHONY BLVD, SUITE 100
FORT WAYNE, IN 46806
Durable Medical Equipment & Medical Supplies
5717 S ANTHONY BLVD, SUITE 300
FORT WAYNE, IN 46806
Family Medicine
5717 S ANTHONY BLVD, SUITE 600
FORT WAYNE, IN 46806
Family Medicine
5717 S ANTHONY BLVD
FORT WAYNE, IN 46806
Family Medicine
5717 S ANTHONY BLVD, SUITE 100
FORT WAYNE, IN 46806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073954962, enumerated as an "individual" on July 09, 2013.

The provider is located at 5717 S ANTHONY BLVD SUITE 300 FORT WAYNE, IN 46806 and the phone number is (260) 425-2690.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.

Kanika Jaggi is affiliated with: LUTHERAN HOSPITAL OF INDIANA, PARKVIEW REGIONAL MEDICAL CENTER, ST JOSEPH HEALTH SYSTEM, LLC and DUPONT HOSPITAL LLC.