IKA NOVIAWATY M.D.
NPI 1265675292
Psychiatry & Neurology - Epilepsy in Boston, MA

NPI Status: Active since April 06, 2009

Contact Information

725 ALBANY STREET, SUITE 7B
SHAPIRO BUILDING
BOSTON, MA
ZIP 02118
Phone: (617) 638-8456
Fax: (617) 638-8465

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  • Individual
  • Female
  • Years of Experience 21
  • Psychiatry & Neurology
  • Epilepsy
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About IKA NOVIAWATY

This page provides the complete NPI Profile along with additional information for Ika Noviawaty, a provider established in Boston, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in epilepsy and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1265675292 assigned on April 2009. The practitioner's primary taxonomy code is 2084E0001X with license number 265068 (MA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1265675292
Provider Name
IKA NOVIAWATY M.D.
Gender
Female
Entity Type
Individual
Location Address
725 ALBANY STREET, SUITE 7B SHAPIRO BUILDING BOSTON, MA 02118
Location Phone
(617) 638-8456
Location Fax
(617) 638-8465
Mailing Address
960 MASSACHUSETTS AVENUE FL 2 BOSTON, MA 02118
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
04-06-2009
Last Update Date
07-08-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Epilepsy

Taxonomy Code
2084E0001X
Type
Allopathic & Osteopathic Physicians
License No.
265068
License State
MA
Taxonomy Description
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

265068 (MA)
22084N0600XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Clinical Neurophysiology

265068 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3104891MEDICAID (05)NH 
110108436AMEDICAID (05)MA 

Medicare Participation & PECOS Enrollment Status

Ika Noviawaty is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ika Noviawaty is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3375847890

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160203002159

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 16 times for 15 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 27 times for 26 patients

Established patient office or other outpatient visit, 40-54 minutes

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.

This service was performed 27 times for 27 patients

Measurement of brain wave activity (eeg), awake and asleep

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

This service was performed 12 times for 12 patients

Measurement of brain wave activity (eeg), awake and drowsy

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

This service was performed 50 times for 50 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

This service was performed 109 times for 54 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional

This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.

This service was performed 14 times for 13 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ika Noviawaty is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BOSTON MEDICAL CENTER1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA 02118
(617) 638-8000Acute Care Hospitals

Reviews for IKA NOVIAWATY M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265675292, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 2 + 7 + 1 + 0 + 2 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1265675292.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Clinical Neuropsychologist
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Clinical Neuropsychologist
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Nurse Practitioner (Family)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Nurse Practitioner (Critical Care Medicine)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Psychiatry & Neurology (Neurocritical Care)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Nurse Practitioner (Family)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Psychiatry & Neurology (Vascular Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Nurse Practitioner (Gerontology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265675292, enumerated as an "individual" on April 06, 2009.

The provider is located at 725 ALBANY STREET, SUITE 7B SHAPIRO BUILDING BOSTON, MA 02118 and the phone number is (617) 638-8456.

Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .

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.

Ika Noviawaty is affiliated with: BOSTON MEDICAL CENTER.