DR. USHA R PANICKER M.D.
NPI 1437131786
Internal Medicine - Endocrinology, Diabetes & Metabolism in Edison, NJ

Q: What is Usha Panicker's NPI number?

The NPI number for Usha Panicker is 1437131786. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Q: What is Usha Panicker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Usha Panicker was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 14, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 31D2038209 · Waiver

2 MARYLAND AVE, EDISON, NJ 08820(732) 744-9288(732) 744-9278 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Usha R Panicker M.d. NPPES

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

DR. USHA R PANICKER M.D. (NPI 1437131786) is an individual endocrinology, diabetes & metabolism provider in Edison, New Jersey, licensed in New Jersey (25MA05249000) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 14, 2028, and is affiliated with Jfk Medical Center.

NPPES Registry Identity

NPI1437131786

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. USHA R PANICKERCredential: M.D.

Location Address2 MARYLAND AVEEdison, NJ 08820-2551

Mailing Address2 Maryland AveEdison, NJ 08820-2551 · (732) 744-9288

Phone(732) 744-9288

Fax(732) 744-9278

Sole ProprietorYes

Medical School CMSOtherGraduated 1981

Enumeration DateNovember 14, 2005

Last NPPES UpdateSeptember 25, 2007

✔ NPI 1437131786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NJ · 25MA05249000

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA05249000 (NJ)

2 MARYLAND AVE, Edison, NJ 08820

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Other Identifiers 7

Other4526619NJ · Aetna

Medicaid5364906NJ

Other1121995NJ · Horizon Nj Health

Other1K6836NJ · Healthnet

Medicare PIN429322NY0NJ

OtherLP195NJ · Oxford

Medicare UPINF45725NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Usha R Panicker 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 ID7012933534

PECOS Enrollment IDI20051024000306

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2038209

Usha Panicker, MD LLC · Edison, NJ

Active · expires Mar 14, 2028

CLIA Number31D2038209

Laboratory TypePhysician Office

Certificate Effective DateMarch 15, 2026

Certificate Expiration DateMarch 14, 2028

Laboratory DirectorUsha R. Panicker

Laboratory Phone(732) 744-9288

Laboratory LocationUsha Panicker, MD LLC2 Maryland Avenue, Edison, NJ 08820

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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 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.

381 services112 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.

60 services52 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 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

27 suppliers79 claims195 services$5.91 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

18 suppliers37 claims55 services$1.07 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

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

USHAPANICKER MDLLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2 MARYLAND AVE
EDISON, NJ 08820

Middlesex County (732) 744-9288

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 Usha Panicker's NPI number?

The NPI number for Usha Panicker is 1437131786. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Usha Panicker located?

Usha Panicker practices at 2 Maryland Ave, Edison, NJ 08820. The listed phone number is (732) 744-9288.

What is Usha Panicker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Usha Panicker enrolled in Medicare?

Yes. Usha Panicker 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.

Does Usha Panicker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2038209) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Usha Panicker accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Usha Panicker 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 Usha Panicker affiliated with any hospitals?

According to CMS data, Usha Panicker is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Usha Panicker was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.