NIKHIL BOMMAKANTI MD
NPI 1740841568
Ophthalmology in Philadelphia, PA

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107(800) 331-6634 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2023, Jun 15, 2023 (2 updates tracked since 2023).

About Nikhil Bommakanti Md NPPES

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

NIKHIL BOMMAKANTI MD (NPI 1740841568) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480827) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740841568
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNIKHIL BOMMAKANTICredential: MD
Location Address840 WALNUT ST STE 1020Philadelphia, PA 19107-5109
Mailing Address840 Walnut St Ste 1020Philadelphia, PA 19107-5109 · (800) 331-6634
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2019
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1740841568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD480827
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.
840 WALNUT ST STE 1020, Philadelphia, PA 19107

Accepted 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

Nikhil Bommakanti 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 ID5799019261
PECOS Enrollment IDI20250902004341
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

5

Medicare enrollment records show Nikhil Bommakanti reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
840 WALNUT ST, SUITE 1230
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 230 clinicians in this Medicare group
Ophthalmology
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 106 clinicians in this Medicare group
Ophthalmology
669 MAIN ST
Wakefield, MA 01880
  • Reassigned Medicare billing, Massachusetts enrollment
  • 14 clinicians in this Medicare group
Ophthalmology
669 MAIN ST
Wakefield, MA 01880
  • Reassigned Medicare billing, Massachusetts enrollment
  • 14 clinicians in this Medicare group
Specialist
31 CENTENNIAL DRIVE
Peabody, MA 01960
  • Reassigned Medicare billing, Massachusetts enrollment
  • 19 clinicians in this Medicare group

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 14

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.

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.
276 services218 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.
232 services197 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
86 services28 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
79 services57 patients
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.
49 services46 patients
Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.94
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107

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 Nikhil Bommakanti's NPI number?

The NPI number for Nikhil Bommakanti is 1740841568. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Nikhil Bommakanti located?

Nikhil Bommakanti practices at 840 Walnut St Ste 1020, Philadelphia, PA 19107. The listed phone number is (800) 331-6634.

What is Nikhil Bommakanti's specialty?

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

Is Nikhil Bommakanti enrolled in Medicare?

Yes. Nikhil Bommakanti 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 Nikhil Bommakanti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Bommakanti reassigns Medicare benefits to 5 organizations: Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA), Pratt Ophthalmology Associates Inc (Boston, MA), North Suburban Eye Associates LLC (Wakefield, MA), North Suburban Eye Associates PC (Wakefield, MA) and Microsurgical Eye Consultants (Peabody, MA). 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 Nikhil Bommakanti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Bommakanti accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Nikhil Bommakanti 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 Nikhil Bommakanti affiliated with any hospitals?

According to CMS data, Nikhil Bommakanti is affiliated with Massachusetts General Hospital and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Nikhil Bommakanti was last updated on July 5, 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.