DR. NICKY MAHBOOB WADIWALA D.O.
NPI 1255642179
Internal Medicine - Cardiovascular Disease in Los Angeles, CA

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
20.75/100
CMS Quality Rating
1700 E CESAR E CHAVEZ AVE STE 1200, LOS ANGELES, CA 90033(323) 268-2200(323) 268-2200 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicky Mahboob Wadiwala D.o. NPPES

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

DR. NICKY MAHBOOB WADIWALA D.O. (NPI 1255642179) is an individual cardiovascular disease provider in Los Angeles, California, licensed in California (20A11280) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1255642179
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NICKY MAHBOOB WADIWALACredential: D.O.
Location Address1700 E CESAR E CHAVEZ AVE STE 1200Los Angeles, CA 90033-2467
Mailing Address1700 E Cesar E Chavez Ave Ste 1200Los Angeles, CA 90033-2467 · (323) 268-2200 · Fax (323) 268-2212
Fax(323) 268-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 25, 2010
Last NPPES UpdateMay 8, 2017
NPI 1255642179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · 20A11280
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 20A11280 (CA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 20A11280 (CA)
1700 E CESAR E CHAVEZ AVE STE 1200, Los Angeles, CA 90033

Other Identifiers 2

OtherH198010OH · Medicare Ptan
Medicaid0082854OH

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

Dr. Nicky Mahboob Wadiwala D.o. 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 ID5991976680
PECOS Enrollment IDI20110929000713
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 21

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,769 services296 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,553 services122 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.
804 services469 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
290 services281 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
282 services231 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
263 services244 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

20.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost69.17

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Interventional Cardiology)
1700 E CESAR E CHAVEZ AVE STE 1200
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1700 E CESAR E CHAVEZ AVE STE 1200
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1700 E CESAR E CHAVEZ AVE STE 1200
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1700 E CESAR E CHAVEZ AVE STE 1200
LOS ANGELES, CA 90033

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 Nicky Wadiwala's NPI number?

The NPI number for Nicky Wadiwala is 1255642179. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Nicky Wadiwala located?

Nicky Wadiwala practices at 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033. The listed phone number is (323) 268-2200.

What is Nicky Wadiwala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nicky Wadiwala enrolled in Medicare?

Yes. Nicky Wadiwala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicky Wadiwala was last updated on May 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.