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KANIKA DUGGAL M.D.
NPI 1285041897
Internal Medicine in Canton, OH

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
2600 6TH ST SW, CANTON, OH 44710(330) 452-9911 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2024, Nov 2, 2018 (2 updates tracked since 2018).

About Kanika Duggal M.d. NPPES

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

KANIKA DUGGAL M.D. (NPI 1285041897) is an individual internal medicine provider in Canton, Ohio, licensed in Ohio (35.131336) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285041897
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKANIKA DUGGALCredential: M.D.
Location Address2600 6TH ST SWCanton, OH 44710-1702
Mailing Address2600 6th St SwCanton, OH 44710-1702 · (330) 452-9911
Phone(330) 452-9911
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 15, 2014
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1285041897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.131336
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2600 6TH ST SW, Canton, OH 44710
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11946 Town Park Blvd Ste 200Uniontown, OH 44685 · Phone (330) 896-3447 · Fax (330) 896-9919
Location 27467 Amethyst Cir NWCanal Fulton, OH 44614-8186 · Phone (330) 524-5031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kanika Duggal M.d. 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 ID7618286584
PECOS Enrollment IDI20181022001476
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kanika Duggal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohio Physician Professional Corporation
Same address
Hospitalist
2600 SIXTH ST SW
Canton, OH 44710
  • Reassigned Medicare billing, Ohio enrollment
  • 189 clinicians in this Medicare group
NPI 1417016973 (330) 479-8705
Partners Physician Group
15 mi
Internal Medicine
611 W TURKEYFOOT LAKE RD
Akron, OH 44319
  • Reassigned Medicare billing, Ohio enrollment
  • 661 clinicians in this Medicare group
NPI 1740479484 (330) 344-1205

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
144 services119 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.
29 services29 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.
27 services27 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44710 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims45 services$5.28 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$35.66 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$51.70 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims68 services$1.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$13.84 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471
DME-Other DME · category DE001N
1 supplier11 claims11 services$236.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JANEL GRACEY M.D.
Student in an Organized Health Care Education/Training Program
2600 6TH ST SW, MEDICAL EDUCATION
CANTON, OH 44710
Stark County (330) 363-4899
ANNIE SHELTON RN
Registered Nurse
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 455-0374
STARK RADIATION ONCOLOGY INCORPORATED
Radiology (Radiation Oncology)
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 454-2210
DAVID ANDREW BEARD MD
Internal Medicine
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 363-2180
ADRIANE NICOLE SEDLOCK RN
Registered Nurse
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 363-0000
RAMANA PODUGU M.D.
Internal Medicine (Cardiovascular Disease)
2600 6TH ST SW, SUITE A2-710
CANTON, OH 44710
Stark County (330) 454-8076
MERITA KONSTANTACOS RN,MSN, CCNS
Clinical Nurse Specialist
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 363-1342
BENJAMIN CHARLES KIESLING MD
Student in an Organized Health Care Education/Training Program
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 705-6534

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 Duggal's NPI number?

The NPI number for Kanika Duggal is 1285041897. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Kanika Duggal located?

Kanika Duggal practices at 2600 6th St SW, Canton, OH 44710. The listed phone number is (330) 452-9911.

What is Kanika Duggal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kanika Duggal enrolled in Medicare?

Yes. Kanika Duggal 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.

Which organizations bill Medicare for Kanika Duggal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanika Duggal reassigns Medicare benefits to 2 organizations: Ohio Physician Professional Corporation (Canton, OH) and Partners Physician Group (Akron, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kanika Duggal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanika Duggal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. list Kanika Duggal 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 Duggal affiliated with any hospitals?

According to CMS data, Kanika Duggal is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Kanika Duggal was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.