Mamta Kanwar, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301508884 Issued in MI

Practice address

33400 6 Mile Rd
Livonia, MI 48152-3165

Phone

(734) 421-2020

Fax

(734) 421-2290

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Institute of Michigan PCGroup PAC ID 6800781436, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.83 of 100Reported as group

Quality

96.82

Promoting interoperability

99

Improvement activities

40

Cost

60.09

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkanwar1001642@direct.uclahealth.org
• Direct secure messaging: mkanwar412169@direct.hfhs.org
• Direct secure messaging: mkanwar@vimichigan.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Institute of Michigan PC

  • Ophthalmology Physician
  • Sterling HTS, MI
  • NPI 1396818373
  Medicare reassignment Care Compare group NPD
• Vision Institute of Michigan PC

  • Optician
  • Livonia, MI
  • NPI 1396828604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1346738002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 271",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "248-395-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523165",
            "telephone_number": "734-421-2020",
            "fax_number": "734-421-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Maple Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480832731",
            "country_code": "US",
            "telephone_number": "248-526-1010",
            "fax_number": "248-526-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24241 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481241801",
            "country_code": "US",
            "telephone_number": "313-561-7255",
            "fax_number": "313-561-6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANWAR",
        "first_name": "MAMTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2023-07-11",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301508884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkanwar@osm.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "33400 6 Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481523165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Kang
• Harnoor Kang
• Leonard Kantane
• Helen Kanter
• Aqsa Kanwal
• Mary Ann Ehab Kaoud
• Arti Kapadia, CCP
• Diane Kapelanski, PT
• Alan Gary Kaplan, M.D.
• Amita Kapoor, MSN, PMHNP

• Ophthalmology Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.