IKA NOVIAWATY (M.D.) – Epilepsy Physician, NPI 1265675292

IKA NOVIAWATY (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 265068 (MA). The NPI Number for IKA NOVIAWATY (M.D.) is 1265675292

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
IKA NOVIAWATY (M.D.)
NPI
1265675292
Phone
Not provided
Address
960 MASSACHUSETTS AVENUE
Enumeration Date
6 April 2009
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176388456
Graduation Year
2005 (21 years ago)
PAC ID
3375847890
Group Practice PAC ID
6608772462
Professional Enrollment ID
I20160203002159
Address ID
MA021183549BO725XXSTXX307
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
inoviawaty23413@UmassMemorial.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,144 NEUROLOGY in MA

Provider Addresses for IKA NOVIAWATY (M.D.)

  • 960 MASSACHUSETTS AVENUE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 725 ALBANY STREET, SUITE 7B

    SHAPIRO BUILDING

    BOSTON, MA 02118

    Phone: (617) 638-8456

    Fax: (617) 638-8465

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 334-2527

    Fax: (508) 856-6778

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: SK Life Science, Inc. ($45).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SK Life Science, Inc.$45
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160203002159INeurologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional8637$0
95816Measurement of brain wave activity (eeg), awake and drowsy4343$0
99215Established patient office or other outpatient visit, 40-54 minutes3836$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608772462View full group profile
NameSpecialtyState
-MA
N E U R O L O G YCA
-MA
Nurse PractitionerMA
N E U R O L O G YMA
Nurse PractitionerMA
N E U R O L O G YMA
N E U R O L O G YMA
Nurse PractitionerMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to IKA NOVIAWATY (M.D.)?
NPI 1265675292 is assigned to IKA NOVIAWATY (M.D.) under the national enumeration system.
Is IKA NOVIAWATY (M.D.)'s NPI currently valid?
The extract we use shows IKA NOVIAWATY (M.D.) as active.
What field does IKA NOVIAWATY (M.D.) work in?
You can think of IKA NOVIAWATY (M.D.) as practicing within Epilepsy Physician. Clinical services aligned with this taxonomy classification.
Does IKA NOVIAWATY (M.D.) practice in Massachusetts?
You will see Boston, Massachusetts on file for IKA NOVIAWATY (M.D.) alongside any extra practice locations.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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