Smita Nikam, M.D.
NPI 1013198035 · Internal Medicine Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Smita Nikam, M.D. is a Internal Medicine Physician provider in Wilkes Barre, PA (NPI 1013198035).
Provider details
- NPI number
- 1013198035
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD432393 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
121 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 44 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 36 | $101 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 29 | $8 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 12 | $144 |
Typical Medicare-allowed amounts for these services range $8–$144 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 45 | 17 |
| Amlodipine Besylate | 39 | 13 |
| Lisinopril | 30 | — |
| Metformin Hcl | 27 | — |
| Losartan Potassium | 22 | — |
| Diclofenac Sodium | 19 | — |
| Levothyroxine Sodium | 18 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-19
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Frequently asked questions
- What is Smita Nikam's NPI number?
- Smita Nikam's National Provider Identifier (NPI) is 1013198035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Smita Nikam's specialty?
- Smita Nikam is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Smita Nikam located?
- Smita Nikam's practice location on file with NPPES is 660 Baltimore Dr, Wilkes Barre, PA 18702-7962.
- What is Smita Nikam's phone number?
- The practice phone number listed in the NPPES registry for Smita Nikam is (570) 808-6444.
- Does Smita Nikam accept Medicare?
- Smita Nikam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Smita Nikam's NPI active?
- Yes — Smita Nikam's NPI (1013198035) is active in the NPPES registry as of the last update on 2025-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.