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KANIKA VARMA MD
NPI 1801237904
Internal Medicine in Charlotte, NC

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment
4525 CAMERON VALLEY PKWY, CHARLOTTE, NC 28211(704) 355-5100 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Aug 8, 2016 (2 updates tracked since 2016).

About Kanika Varma Md NPPES

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

KANIKA VARMA MD (NPI 1801237904) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2021-00381) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1801237904
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKANIKA VARMACredential: MD
Location Address4525 CAMERON VALLEY PKWYCharlotte, NC 28211-4369
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 17, 2013
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
✔ NPI 1801237904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2021-00381
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.
4525 CAMERON VALLEY PKWY, Charlotte, NC 28211
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Secondary Practice Location 1

Location 13025 Springbank Ln, Ste 100Charlotte, NC 28226-3362 · Phone (704) 446-2620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Kanika Varma 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 ID8628377306
PECOS Enrollment IDI20211007003323
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 10

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 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.
271 services152 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.
63 services63 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services20 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.
26 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%45 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
8 suppliers14 claims52 services$6.85 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$185.12 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.

ELIZABETH TEMPLETON SILVERS RD
Dietitian, Registered
4525 CAMERON VALLEY PKWY, STE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9462
JESSICA JOHNSON
Nurse Practitioner
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 355-5100
CINDY IRIS VARGA MD
Internal Medicine (Hematology)
4525 CAMERON VALLEY PKWY, STE 3500
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-8300
CATHERINE MCCALLEY SHAW FNP
Nurse Practitioner (Family)
4525 CAMERON VALLEY PKWY, STE 4100D
CHARLOTTE, NC 28211
Mecklenburg County (980) 402-1800
MRS. ADENIKE FASAN B.PHARM
Pharmacist (Oncology)
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (980) 442-9304
CHELSEA SCHAFER PA-C
Physician Assistant
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 667-5800
VIBHU DHINGRA MD
Internal Medicine
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 355-5100
THOMAS C SUNDBERG M.D.
Internal Medicine (Rheumatology)
4525 CAMERON VALLEY PKWY, SUITE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9300

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 Varma's NPI number?

The NPI number for Kanika Varma is 1801237904. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Kanika Varma located?

Kanika Varma practices at 4525 Cameron Valley Pkwy, Charlotte, NC 28211. The listed phone number is (704) 355-5100.

What is Kanika Varma's specialty?

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

Is Kanika Varma enrolled in Medicare?

Yes. Kanika Varma 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 Kanika Varma accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Kanika Varma 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 Kanika Varma affiliated with any hospitals?

According to CMS data, Kanika Varma is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Kanika Varma was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.