KANIKA AGARWAL MD
NPI 1245692433
Ophthalmology in Boston, MA

Q: What is Kanika Agarwal's NPI number?

The NPI number for Kanika Agarwal is 1245692433. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Kanika Agarwal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kanika Agarwal was last updated on June 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2016PECOS Enrolled

243 CHARLES ST, BOSTON, MA 02114(617) 573-4443 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 29, 2020, Jun 19, 2020, Nov 11, 2017 and 1 more (4 updates tracked since 2016).

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About Kanika Agarwal Md NPPES

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

KANIKA AGARWAL MD (NPI 1245692433) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (282559) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245692433

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameKANIKA AGARWALCredential: MD

Location Address243 CHARLES STBoston, MA 02114-3002

Mailing Address243 Charles StBoston, MA 02114-3002 · (617) 573-4443

Phone(617) 573-4443

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 25, 2016

Last NPPES UpdateJune 29, 20204 updates tracked since enumeration

NPPES CertifiedJune 29, 2020

✔ NPI 1245692433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MA · 282559

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

243 CHARLES ST, Boston, MA 02114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Agarwal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224329206

PECOS Enrollment IDI20200724001452

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 27

Services this provider delivered to Medicare fee-for-service patients, from the 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 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.

120 services106 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

113 services99 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

108 services108 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

96 services96 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

89 services89 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

76 services72 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

75 services75 patients

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.

75 services66 patients

Ct scan of cornea 92025

70 services68 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

61 services61 patients

Measurement of corneal curvature and depth of eye 92136

56 services56 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

55 services55 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

52 services45 patients

Imaging of retina 92134

50 services47 patients

Established patient complete exam of visual system 92014

46 services46 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

44 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

New patient complete exam of visual system 92004

38 services38 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

35 services34 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

32 services32 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

28 services23 patients

Imaging of optic nerve 92133

22 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

22 services22 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

20 services16 patients

Exam of visual field with extended testing 92083

17 services15 patients

Removal of cataract with insertion of prosthetic lens 66984

14 services11 patients

Ultrasound scan of cornea to determine thickness 76514

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220075

Location243 Charles StreetBoston, MA 02114 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

CARLA PETERSEN AU.D., CCC-A

Audiologist

243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114

Suffolk County (617) 573-3266

DR. RYAN CARLSON MD PHD

Student in an Organized Health Care Education/Training Program

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 523-7900

MASSACHUSETTS EYE AND EAR INFIRMARY

Eyewear Supplier

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3182

DANIEL ROBERT LEFEBVRE M.D.

Ophthalmology

243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114

Suffolk County (617) 523-7900

ELLIOTT D. KOZIN MD

Otolaryngology

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-6545

DR. LUCIA K SOMBERG MD, MPH

Emergency Medicine

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3431

MS. JANET ENGLISH HUETTIG LICSW

Social Worker (Clinical)

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3548

KYUNG OH DO, MS

Anesthesiology

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3380

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 Agarwal's NPI number?

The NPI number for Kanika Agarwal is 1245692433. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Kanika Agarwal located?

Kanika Agarwal practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-4443.

What is Kanika Agarwal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kanika Agarwal enrolled in Medicare?

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

What insurance does Kanika Agarwal accept?

Health plans from Anthem Blue Cross and Blue Shield list Kanika Agarwal 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.

Is Kanika Agarwal affiliated with any hospitals?

According to CMS data, Kanika Agarwal is affiliated with Massachusetts General Hospital and Massachusetts Eye And Ear Infirmary -.

When was this NPI record last updated?

The NPPES record for Kanika Agarwal was last updated on June 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.