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DR. KATHY G NIKNEJAD M.D.
NPI 1861551087
Urology in Wellesley, MA

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
230 WORCESTER ST, UROLOGY DEPT, WELLESLEY, MA 02481(781) 431-5255(781) 431-5329 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathy G Niknejad M.d. NPPES

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

DR. KATHY G NIKNEJAD M.D. (NPI 1861551087) is an individual urology provider in Wellesley, Massachusetts, licensed in Massachusetts (157074) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1861551087
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. KATHY G NIKNEJADCredential: M.D.
Location Address230 WORCESTER ST, UROLOGY DEPTWellesley, MA 02481-5420
Mailing Address230 Worcester St, Urology DeptWellesley, MA 02481-5420 · (781) 431-5255 · Fax (781) 431-5329
Phone(781) 431-5255
Fax(781) 431-5329
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1991
Enumeration DateDecember 6, 2006
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1861551087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MA · 157074
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
230 WORCESTER ST, Wellesley, MA 02481
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Other Identifiers 2

Medicaid3193632MA
Medicare PINCA0525MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Kathy G Niknejad 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 ID4183696651
PECOS Enrollment IDI20040806000562
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 5

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.
145 services104 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
48 services45 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
45 services37 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02481 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers14 claims2,450 services$1.74 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.

JAMES M. DONOVAN PHD
Psychologist
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5270
JEAN D HORST NP
Nurse Practitioner (Pediatrics)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
LINDA ANN RAFTERY NP
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
SUSAN JO ROBERTS NP
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
DEBRA A BRADFORD NP
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200
JULIA Y LOGAN M.D.
Obstetrics & Gynecology
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5400
IDA P GORENBURG M.D.
Internal Medicine
230 WORCESTER ST, INTERNAL MEDICINE
WELLESLEY, MA 02481
Norfolk County (781) 431-5220
PHYLLIS BLUHM PA
Physician Assistant (Medical)
230 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-5200

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 Kathy Niknejad's NPI number?

The NPI number for Kathy Niknejad is 1861551087. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Kathy Niknejad located?

Kathy Niknejad practices at 230 Worcester St Urology Dept, Wellesley, MA 02481. The listed phone number is (781) 431-5255.

What is Kathy Niknejad's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kathy Niknejad enrolled in Medicare?

Yes. Kathy Niknejad 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 Kathy Niknejad accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathy Niknejad 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 Kathy Niknejad affiliated with any hospitals?

According to CMS data, Kathy Niknejad is affiliated with Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Kathy Niknejad was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.