DR. NIHARIKA BANSAL METTU MD, PHD
NPI 1447427737
Internal Medicine - Medical Oncology in Durham, NC

Active since May 15, 2008PECOS EnrolledAccepts Medicare Assignment
20 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Niharika Bansal Mettu Md, Phd NPPES

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

DR. NIHARIKA BANSAL METTU MD, PHD (NPI 1447427737) is an individual medical oncology provider in Durham, North Carolina, licensed in North Carolina (2014-01519) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2008).

NPPES Registry Identity

NPI1447427737
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. NIHARIKA BANSAL METTUCredential: MD, PHD
Location Address20 DUKE MEDICINE CIRDurham, NC 27710-2000
Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (919) 684-8111
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2008
Enumeration DateMay 15, 2008
Last NPPES UpdateJuly 22, 2014
NPI 1447427737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in NC · 2014-01519
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 2014-04519 (NC)
20 DUKE MEDICINE CIR, Durham, NC 27710

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. Niharika Bansal Mettu Md, Phd 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 ID2264650399
PECOS Enrollment IDI20140902001132
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 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 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.
237 services88 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.
49 services49 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 6

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier53 claims54 services$18.85 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier53 claims53 services$36.86 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers45 claims2,698 services$0.72 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier53 claims512 services$1.58 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers28 claims28 services$18.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier17 claims17 services$12.62 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.

Marriage & Family Therapist
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Radiology (Radiation Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Counselor
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Nurse Practitioner
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Pharmacist (Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Hematology & Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Pharmacist (Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Nurse Practitioner (Family)
20 DUKE MEDICINE CIR
DURHAM, NC 27710

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 Niharika Mettu's NPI number?

The NPI number for Niharika Mettu is 1447427737. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Niharika Mettu located?

Niharika Mettu practices at 20 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Niharika Mettu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Niharika Mettu enrolled in Medicare?

Yes. Niharika Mettu 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 Niharika Mettu accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Niharika Mettu 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 Niharika Mettu affiliated with any hospitals?

According to CMS data, Niharika Mettu is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Niharika Mettu was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.