Dr Nicky Mahboob Wadiwala, DO in Los Angeles, CA - Medicare Cardiovascular Disease (cardiology)

Dr Nicky Mahboob Wadiwala, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Los Angeles, California. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Boyle Heights Cardiovascular Medical Group Inc. and his current practice location is 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 268-2200.

Dr Nicky Mahboob Wadiwala is licensed to practice in California (license number 20A11280) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255642179.

Contact Information

	Dr Nicky Mahboob Wadiwala, DO
	1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033-2467
	(323) 268-2200
	(323) 268-2200

Map and Direction

Physician's Profile

Full Name	Dr Nicky Mahboob Wadiwala
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	16 Years
Location	1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicky Mahboob Wadiwala graduated from medical school in 2008

NPI Data:

NPI Number: 1255642179
Provider Enumeration Date: 06/25/2010
Last Update Date: 05/08/2017

Medicare PECOS Information:

PECOS PAC ID: 5991976680
Enrollment ID: I20110929000713

Medical Identifiers

Medical identifiers for Dr Nicky Mahboob Wadiwala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255642179	NPI	-	NPPES
0082854	Medicaid	OH
H198010	Other	OH	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A11280 (California)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	20A11280 (California)	Primary
207RI0011X	Internal Medicine - Interventional Cardiology	20A11280 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
White Memorial Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boyle Heights Cardiovascular Medical Group Inc.	2163522525	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicky Mahboob Wadiwala allows following entities to bill medicare on his behalf.

Entity Name	Boyle Heights Cardiovascular Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659498004 PECOS PAC ID: 2163522525 Enrollment ID: O20070713000562

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicky Mahboob Wadiwala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nicky Mahboob Wadiwala, DO 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033-2467 Ph: (323) 268-2200	Dr Nicky Mahboob Wadiwala, DO 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033-2467 Ph: (323) 268-2200

Reviews and Comments

Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Dr Nicky Mahboob Wadiwala, DO - Medicare Cardiovascular Disease (cardiology) in Los Angeles, CA