DR. KANIKA HAMPTON BIPAT M.D.
NPI 1407911555
Internal Medicine in Waldorf, MD

Q: What is Kanika Hampton Bipat's NPI number?

The NPI number for Kanika Hampton Bipat is 1407911555. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Kanika Hampton Bipat's specialty?

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

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment

11315 PEMBROOKE SQ, SUITE 111, WALDORF, MD 20603(240) 252-2150(240) 252-2151 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kanika Hampton Bipat M.d. NPPES

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

DR. KANIKA HAMPTON BIPAT M.D. (NPI 1407911555) is an individual internal medicine provider in Waldorf, Maryland, licensed in Maryland (D0065304) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2001).

NPPES Registry Identity

NPI1407911555

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. KANIKA HAMPTON BIPATCredential: M.D.

Location Address11315 PEMBROOKE SQ, SUITE 111Waldorf, MD 20603-4806

Mailing AddressPo Box 549Waldorf, MD 20604-0549 · (240) 252-2150 · Fax (240) 252-2151

Phone(240) 252-2150

Fax(240) 252-2151

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2001

Enumeration DateDecember 27, 2006

Last NPPES UpdateOctober 10, 2016

✔ NPI 1407911555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0065304

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.

11315 PEMBROOKE SQ, Waldorf, MD 20603

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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. Kanika Hampton Bipat 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 ID6800986126

PECOS Enrollment IDI20071226000146

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 13

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

896 services111 patients

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.

295 services88 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

232 services17 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.

218 services87 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

103 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

102 services14 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.

89 services30 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

76 services76 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.

69 services69 patients

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

69 services52 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.

50 services46 patients

Extended office or other outpatient service by clinical staff, first hour 99415

This service involves a clinical staff member providing extended outpatient care for the first hour. It may include monitoring, administering treatment, or observing the patient's condition. This is done in an office setting, ensuring patient comfort.

29 services26 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%185 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers19 claims51 services$6.47 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers28 claims28 services$5.08 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 3

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

DR. NIKISHA HOLLY SMITH MD

Pediatrics

11315 PEMBROOKE SQ, SUITE 110
WALDORF, MD 20603

Charles County (301) 645-6165

MRS. KIMBERLE LYNNE HOGGE PA-C

Physician Assistant

11315 PEMBROOKE SQ, SUITE 110
WALDORF, MD 20603

Charles County (301) 843-7232

MS. JENNENE DANIELS LCSW-C, BCD

Social Worker (Clinical)

11315 PEMBROOKE SQ, STE 112
WALDORF, MD 20603

Charles County (301) 638-5001

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 Hampton Bipat's NPI number?

The NPI number for Kanika Hampton Bipat is 1407911555. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Kanika Hampton Bipat located?

Kanika Hampton Bipat practices at 11315 Pembrooke Sq Suite 111, Waldorf, MD 20603. The listed phone number is (240) 252-2150.

What is Kanika Hampton Bipat's specialty?

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

Is Kanika Hampton Bipat enrolled in Medicare?

Yes. Kanika Hampton Bipat 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 Kanika Hampton Bipat was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.