HELI NAIK D.O.
NPI 1992236921
Family Medicine in Boston, MA

Q: What is Heli Naik's NPI number?

The NPI number for Heli Naik is 1992236921. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Heli Naik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Heli Naik was last updated on June 9, 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.

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment

930 COMMONWEALTH AVE, BOSTON, MA 02215(617) 414-6800(617) 414-6817 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Sep 21, 2021, Aug 14, 2020 and 2 more (5 updates tracked since 2017).

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About Heli Naik D.o. NPPES

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

HELI NAIK D.O. (NPI 1992236921) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (T287865) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital - Somerset, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1992236921

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameHELI NAIKCredential: D.O.

Location Address930 COMMONWEALTH AVEBoston, MA 02215-1274

Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690

Phone(617) 414-6800

Fax(617) 414-6817

Sole ProprietorYes

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2017

Enumeration DateMarch 22, 2017

Last NPPES UpdateJune 9, 20235 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1992236921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MA · T287865✔ Licensed in PA · OS020523

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License T287865 (MA)

930 COMMONWEALTH AVE, Boston, MA 02215

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Secondary Practice Location 1

Location 1915 Commonwealth Ave, RearBoston, MA 02215 · Phone (617) 358-3400 · Fax (617) 414-6817

Other Identifiers 2

Medicaid110177848AMA

Medicaid3131366NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Heli Naik D.o. 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 ID3375818479

PECOS Enrollment IDI20230907001718

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.

159 services112 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

120 services32 patients

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.

58 services37 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

28 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services21 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310048

Location110 Rehill AveSomerville, NJ 08876 · Somerset County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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.

DR. BRITTNEY JAYE MAZZA O.D.

Optometrist

930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215

Suffolk County (617) 262-2020

DR. RAJVINDER KAUR PABLA OD

Optometrist (Pediatrics)

930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215

Suffolk County (617) 529-9077

MARISSA PROVENCHER

Registered Nurse (Ambulatory Care)