DR. MAMTA KANWAR MD
NPI 1346738002
Ophthalmology in Livonia, MI

Active since April 27, 2018PECOS EnrolledAccepts Medicare Assignment
78.03/100
CMS Quality Rating
33400 6 MILE RD, LIVONIA, MI 48152(734) 421-2020(734) 421-2290 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2023, Jun 6, 2023, Apr 4, 2023 and 3 more (6 updates tracked since 2018).

About Dr. Mamta Kanwar Md NPPES

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

DR. MAMTA KANWAR MD (NPI 1346738002) is an individual ophthalmology provider in Livonia, Michigan, licensed in Michigan (4301508884) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2018).

NPPES Registry Identity

NPI1346738002
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MAMTA KANWARCredential: MD
Location Address33400 6 MILE RDLivonia, MI 48152-3165
Mailing Address30150 Telegraph Rd Ste 271Bingham Farms, MI 48025-4521 · (248) 395-5166
Fax(734) 421-2290
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2018
Enumeration DateApril 27, 2018
Last NPPES UpdateJuly 11, 20236 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1346738002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301508884
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.
33400 6 MILE RD, Livonia, MI 48152

Secondary Practice Locations 2

Location 124241 Michigan AveDearborn, MI 48124-1801 · Phone (313) 561-7255 · Fax (313) 561-6137
Location 2415 E Maple Rd Ste 100Troy, MI 48083-2731 · Phone (248) 526-1010 · Fax (248) 526-1717

Accepted 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

Dr. Mamta Kanwar 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 ID6901154517
PECOS Enrollment IDI20230508000766
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 15

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 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.
358 services285 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.
269 services209 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.
262 services211 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).
245 services204 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.
211 services157 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
115 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48152 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

78.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.47
Promoting Interoperability99
Improvement Activities40
Cost30.12

Other Providers at the Same Location NPPES 5

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

Ophthalmology (Retina Specialist)
33400 6 MILE RD
LIVONIA, MI 48152
Ophthalmology
33400 6 MILE RD
LIVONIA, MI 48152
Clinic/Center (Ambulatory Surgical)
33400 6 MILE RD, SUITE B
LIVONIA, MI 48152
Optometrist
33400 6 MILE RD
LIVONIA, MI 48152
Ophthalmology
33400 6 MILE RD
LIVONIA, MI 48152

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 Mamta Kanwar's NPI number?

The NPI number for Mamta Kanwar is 1346738002. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Mamta Kanwar located?

Mamta Kanwar practices at 33400 6 Mile Rd, Livonia, MI 48152. The listed phone number is (734) 421-2020.

What is Mamta Kanwar's specialty?

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

Is Mamta Kanwar enrolled in Medicare?

Yes. Mamta Kanwar 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 Mamta Kanwar accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Mamta Kanwar 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.

When was this NPI record last updated?

The NPPES record for Mamta Kanwar was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.