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KANIKA GUPTA NAIR MD
NPI 1275952830
Internal Medicine - Hematology & Oncology in Cleveland, OH

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
10201 CARNEGIE AVE # CA6-164, CLEVELAND, OH 44106(216) 444-2200 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2021, May 17, 2018 (2 updates tracked since 2018).

About Kanika Gupta Nair Md NPPES

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

KANIKA GUPTA NAIR MD (NPI 1275952830) is an individual hematology & oncology provider in Cleveland, Ohio, licensed in Ohio (35.136548) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275952830
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameKANIKA GUPTA NAIRCredential: MD
Location Address10201 CARNEGIE AVE # CA6-164Cleveland, OH 44106-2130
Mailing Address10201 Carnegie Ave # Ca6-164Cleveland, OH 44106-2130
Phone(216) 444-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1275952830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in OH · 35.136548
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
10201 CARNEGIE AVE # CA6-164, Cleveland, OH 44106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.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 Gupta Nair 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 ID9133426851
PECOS Enrollment IDI20210802001580
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 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 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.
71 services31 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.
57 services29 patients
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.
55 services28 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.
33 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 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.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nair's NPI number?

The NPI number for Kanika Nair is 1275952830. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Kanika Nair located?

Kanika Nair practices at 10201 Carnegie Ave # Ca6-164, Cleveland, OH 44106. The listed phone number is (216) 444-2200.

What is Kanika Nair's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kanika Nair enrolled in Medicare?

Yes. Kanika Nair 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.

What insurance does Kanika Nair accept?

Health plans from Oscar Insurance Corporation of Ohio list Kanika Nair 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 Nair affiliated with any hospitals?

According to CMS data, Kanika Nair is affiliated with Fairview Hospital, Medina Hospital, Cleveland Clinic, Hillcrest Hospital and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Kanika Nair was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.