NAGAISHWARYA MOKA M.D.
NPI 1710337837
Internal Medicine - Hematology & Oncology in Middlesboro, KY

NPI Status: Active since June 20, 2016

Contact Information

3602 CUMBERLAND AVE
MIDDLESBORO, KY
ZIP 40965
Phone: (606) 242-1550

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  • Individual
  • Female
  • Years of Experience 11
  • Internal Medicine
  • Hematology & Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About NAGAISHWARYA MOKA

This page provides the complete NPI Profile along with additional information for Nagaishwarya Moka, an internist established in Middlesboro, Kentucky with a medical specialization in Internal Medicine, focusing in hematology & oncology and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1710337837 assigned on June 2016. The practitioner's primary taxonomy code is 207RH0003X with license number 57715 (KY). The provider is registered as an individual and her NPI record was last updated February 2025.

NPI
1710337837
Provider Name
NAGAISHWARYA MOKA M.D.
Gender
Female
Entity Type
Individual
Location Address
3602 CUMBERLAND AVE MIDDLESBORO, KY 40965
Location Phone
(606) 242-1550
Mailing Address
3602 CUMBERLAND AVE MIDDLESBORO, KY 40965
Mailing Phone
(606) 242-1550
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
06-20-2016
Last Update Date
02-11-2025
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An internist like Nagaishwarya Moka is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
License No.
57715
License State
KY
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Nagaishwarya Moka is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8820455470

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230613001693

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $40.56 for a new patient copayment and $23.48 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 40965 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $162.27
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $40.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.94
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $23.48
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nagaishwarya Moka is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MIDDLESBORO ARH HOSPITAL3600 WEST CUMBERLAND AVENUE
MIDDLESBORO, KY 40965
(606) 242-1100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710337837
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720631486
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 3 + 1 + 4 + 8 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1710337837 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386817773SUNRISE PEDIATRICS PLLC
Organization
Pediatrics3602 CUMBERLAND AVE SUITE B103
MIDDLESBORO, KY 40965
(606) 248-6999
1861506552DR. VICENTE YU KAW JR. MD
Individual
Internal Medicine (Cardiovascular Disease)3602 CUMBERLAND AVE ARH PROFESSIONAL BUILDING
MIDDLESBORO, KY 40965
(606) 242-1330
1386901254 CHRISTY JOHNSON APRN
Individual
Nurse Practitioner (Family)3602 CUMBERLAND AVE
MIDDLESBORO, KY 40965
(606) 242-1500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710337837, enumerated in the NPI registry as an "individual" on June 20, 2016

The provider is located at 3602 Cumberland Ave Middlesboro, Ky 40965 and the phone number is (606) 242-1550

The provider's speciality is Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology

The provider has more than 11 years of experience.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $162.27 with an average copayment of $40.56 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): MIDDLESBORO ARH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 20, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.