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HEEMA KAUL M.D.
NPI 1891961736
Ophthalmology in Lawrence, MA

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01843(978) 688-6182(978) 689-0731 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heema Kaul M.d. NPPES

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

HEEMA KAUL M.D. (NPI 1891961736) is an individual ophthalmology provider in Lawrence, Massachusetts, licensed in Massachusetts (242472) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2005).

NPPES Registry Identity

NPI1891961736
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHEEMA KAULCredential: M.D.
Location Address360 MERRIMACK ST, BLDG 9, ENTRANCE ILawrence, MA 01843-1740
Mailing Address360 Merrimack St, Bldg 9, Entrance ILawrence, MA 01843-1740 · (978) 688-6182 · Fax (978) 689-0731
Phone(978) 688-6182
Fax(978) 689-0731
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2005
Enumeration DateApril 30, 2008
Last NPPES UpdateDecember 3, 2013
✔ NPI 1891961736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 242472
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.
360 MERRIMACK ST, Lawrence, MA 01843
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Other Identifiers 2

Medicare PIN1888302MA
Medicaid110087423AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Heema Kaul 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 ID244428399
PECOS Enrollment IDI20101216000461, I20140331000406
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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
9,840 services56 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.
1,043 services528 patients
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.
1,032 services485 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.
845 services137 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.
619 services161 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
123 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01843 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

RENEE LAFOUNTAIN
Counselor (Professional)
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 688-4830
NICOLE LEVASSEUR
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (508) 281-9411
SCARLET PLACERES
Behavior Analyst
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 973-5399
PLUMMER GASKINS
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (508) 281-9411
KELLY JEANNE O'CONNOR FNP
Nurse Practitioner (Family)
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8800
INTEGRATED CENTER FOR GROUP MEDICAL VISITS
Clinic/Center (Health Service)
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 382-3080
LEAH BENINATO
Counselor
360 MERRIMACK ST, BUILDING 9 ENTRANCE H
LAWRENCE, MA 01843
Essex County (978) 688-4830
STEPHANIE HENRIQUEZ
Registered Nurse
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 688-4830

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 Heema Kaul's NPI number?

The NPI number for Heema Kaul is 1891961736. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Heema Kaul located?

Heema Kaul practices at 360 Merrimack St Bldg 9, Entrance I, Lawrence, MA 01843. The listed phone number is (978) 688-6182.

What is Heema Kaul's specialty?

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

Is Heema Kaul enrolled in Medicare?

Yes. Heema Kaul 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 Heema Kaul accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Providence Health Plan and WellSense Health Plan list Heema Kaul 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.

When was this NPI record last updated?

The NPPES record for Heema Kaul was last updated on December 3, 2013. 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.