DR. MAMTA KANWAR (MD) – Ophthalmology Physician, NPI 1346738002

DR. MAMTA KANWAR (MD) is a healthcare provider. based in Detroit, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 4301508884 (MI). The NPI Number for DR. MAMTA KANWAR (MD) is 1346738002

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAMTA KANWAR (MD)
NPI
1346738002
Phone
(313) 966-3300
Address
6071 W OUTER DR
Enumeration Date
27 April 2018
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5866852143
Graduation Year
2018 (8 years ago)
PAC ID
6901154517
Group Practice PAC ID
6800781436
Professional Enrollment ID
I20230508000766
Address ID
MI483131063ST44650BLVD301

Contacts

Secure Messaging
mkanwar@osm.intellechartdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

844 OPHTHALMOLOGY in MI

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Provider Addresses for DR. MAMTA KANWAR (MD)

  • DMC Sinai-Grace Hospital, 6071, West Outer Drive, Northwest Detroit, Detroit, Wayne County, Michigan, 48235, United States

    DETROIT, MI 482352624

    Phone: (313) 966-3300

    Type: Location

  • 24241 Michigan Ave

    Dearborn, MI 481241801

    Phone: (313) 561-7255

    Fax: (313) 561-6137

    Type: Location

  • 415 E Maple Rd Ste 100

    Troy, MI 480832731

    Phone: (248) 526-1010

    Fax: (248) 526-1717

    Type: Location

  • 30150 TELEGRAPH RD STE 271

    BINGHAM FARMS, MI 480254521

    Phone: (248) 395-5166

    Type: Mailing

  • 33400 6 MILE RD

    LIVONIA, MI 481523165

    Phone: (734) 421-2020

    Fax: (734) 421-2290

    Type: Location

  • 957 PORTSMOUTH DR

    TROY, MI 480841674

    Phone: (313) 645-1053

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $380.

Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Alcon Vision LLC ($166).

Total Amount

$380

General + Research + Ownership

Payments

7

Total payment records

General Amount

$380

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-05-08

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
I20230508000766IOphthalmologyMITBD

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
92014Established patient complete exam of visual system214209$0
92083Exam of visual field with extended testing118117$0
92134Imaging of retina111110$0
76514Ultrasound scan of cornea to determine thickness9898$0
92133Imaging of optic nerve9694$0
View full utilization report →

Insurance plans in this area (ZIP 48235)

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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: 6800781436View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

How do payers reference DR. MAMTA KANWAR (MD)?
For DR. MAMTA KANWAR (MD), use NPI 1346738002 as the unique 10-digit identifier.
Is there an active status for DR. MAMTA KANWAR (MD)?
For scheduling context, DR. MAMTA KANWAR (MD) is shown as active in the registry.
How would a patient describe DR. MAMTA KANWAR (MD)'s focus?
For DR. MAMTA KANWAR (MD), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MAMTA KANWAR (MD)?
Travel planning: use Detroit, Michigan as the reference point for DR. MAMTA KANWAR (MD), then confirm.
Does DR. MAMTA KANWAR (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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