Doctor profile · Federal record
Dr. Ika Noviawaty, M.D.
Epilepsy Physician (CMS: Neurology) · Clinical Neurophysiology Physician · Neurology Physician · Boston, MA
- NPI 1265675292
- Accepts Medicare
- 21 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
725 Albany Street, Suite 7B, Shapiro Building
Boston, MA 02118
(617) 638-8456
fax (617) 638-8465 - Mailing address
-
960 Massachusetts Avenue, Fl 2
Boston, MA 02118
Credentials & registration
- NPI registered
- April 2009 — 17 yrs on file
- Profile last updated
- July 8, 2024
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 2084E0001X — NUCC code
- State license (1)
- Massachusetts #265068
- Medicaid (2)
- NH #3104891 · MA #110108436A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265675292. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
184
Distinct HCPCS
4
Medicare allowed
$27,980
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
95720 |
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 86 | 37 | $212 | |
95816 |
Measurement of brain wave activity (eeg), awake and drowsy | 43 | 43 | $58 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 38 | 36 | $146 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 17 | 17 | $100 |
In context: peer comparison
Among 10 peers in Boston Epilepsy Physician, average services per provider: 43. This provider delivers 4.3× the peer median.Open Payments
Industry payments received
All-time total
$45
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sk Life Science, INC. | 2 | $45.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
699
Patients
116
Total drug cost
$103,565
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levetiracetam | Generic | 110 | 41 | $4,899 |
| Lacosamide | Generic | 90 | 15 | $20,698 |
| Lamotrigine | Generic | 88 | 15 | $1,920 |
| Clobazam | Generic | 85 | 19 | $11,426 |
| Zonisamide | Generic | 58 | 13 | $3,039 |
| Divalproex Sodium ER (Divalproex Sodium) | Brand | 36 | 0 | $5,589 |
| Levetiracetam ER (Levetiracetam) | Brand | 33 | 0 | $2,427 |
| Phenobarbital | Generic | 31 | 0 | $1,067 |
| Oxcarbazepine | Generic | 30 | 13 | $2,560 |
| Topiramate | Generic | 27 | 0 | $635 |
Hospital affiliations
Frequently asked questions
What is Dr. Ika Noviawaty's medical specialty?
Dr. Ika Noviawaty practices Epilepsy Physician in Boston, MA.
Where does Dr. Ika Noviawaty practice?
Dr. Ika Noviawaty practices at 725 Albany Street, Suite 7B, Boston, MA 02118. Office phone: 6176388456.
What is Dr. Ika Noviawaty's NPI?
Dr. Ika Noviawaty's National Provider Identifier (NPI) is 1265675292, issued by NPPES.
Does Dr. Ika Noviawaty accept Medicare assignment?
Yes. Dr. Ika Noviawaty accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ika Noviawaty commonly perform?
Top Medicare-reported procedures in 2023: Measurement of brain wave activity with video (veeg) (HCPCS 95720); Measurement of brain wave activity (eeg), awake and drowsy (HCPCS 95816); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.