Ika Noviawaty
M.D. | Neurology - Clinical Neurophysiology | 20+ years Exp
725 Albany Street, Suite 7b, Shapiro Building, Boston
Massachusetts, 02118
617-638-8456 617-638-8465
Maps & DirectionsIka Noviawaty is a Boston, Massachusetts based neurologist with 20 years of experience in Clinical Neurophysiology. She completed her graduation in 2005. She is also affiliated with hospitals like She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ika Noviawaty is 265068 for Epilepsy Treatment in Massachusetts. Her current practice location is 725 Albany Street, Suite 7b, Shapiro Building, Boston. Patients can reach her at 617-638-8456 or can fax her at 617-638-8465. Ika Noviawaty is M.D. in Clinical Neurophysiology and her NPI number (Unique professional ID assigned by NPPES) is 1265675292.
Ika Noviawaty is subspecialized with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Complete Profile:
Ika Noviawaty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ika Noviawaty |
| Specialization: | Clinical Neurophysiology |
| Gender: | Female |
| Credentials: | M.D. |
| Experience: | 20+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2005 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 725 Albany Street, Suite 7b, Shapiro Building, Boston,
Massachusetts, 02118 |
| Phone: | 617-638-8456 |
| Fax: | 617-638-8465 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3375847890 |
| Enrollment ID: | I20160203002159 |
| NPI Number: | 1265675292 |
| NPI Enumeration Date: | 06 Apr, 2009 |
| NPI Last Update On: | 08 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ika Noviawaty are as mentioned below.
| License Number | Specialization | State | Status | |
| 265068 | Epilepsy Treatment | Massachusetts | Primary | |
| 265068 | Clinical Neurophysiology | Massachusetts | Secondary | |
| 265068 | Neurology | Massachusetts | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (220163) | Worcester, MA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ika Noviawaty is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Umass Memorial Medical Group Inc (4284539891) | 1733 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ika Noviawaty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3104891 | Medicaid | New Hampshire | |
| 110108436A | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ika Noviawaty
960 Massachusetts Avenue, Fl 2
Boston, Massachusetts |
| Zip: | 02118 |
Patients can reach Ika Noviawaty at
725 Albany Street, Suite 7b, Shapiro Building, Boston, Massachusetts or can
call to book an appointment on 617-638-8456.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.