NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1134609498 MD
Verify on CMS → Kanwal Naveen Bains, MD
Internal Medicine Physician in Providence, Rhode Island.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
226
Medicare Part D claims · 72 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
97.6/100
▲ 15 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kanwal Naveen Bains, MD reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 226 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +15 vs avg
- 226
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Kanwal Naveen Bains, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kanwal Naveen Bains, MD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kanwal Naveen Bains, MD writes more Part D claims than 26% of them and scores higher on MIPS quality than 88% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Kanwal Naveen Bains, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kanwal Naveen Bains, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Kanwal Naveen Bains, MD?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
226 92% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in Rhode Island
How Internal Medicine Physician compares to other specialties among Rhode Island providers
Medicare quality performance, MIPS
Kanwal Naveen Bains, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 97.6/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Kanwal Naveen Bains, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 825 CHALKSTONE AVE, Providence, RI, 02908, with a listed phone of (401) 456-2000. NPI 1134609498 was issued on 08/16/2018.
Medicare Part D records for calendar year 2023 show 226 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $30K in drug spend, with an opioid prescribing rate of 6.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 84.8), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1134609498 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/16/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.6403
Final Score
Avg: 83.1
84.7722
Quality
98.6754
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kanwal Naveen Bains, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Banner-University Medical Group
Tucson, AZ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
226
Total Claims
$30K
Total Drug Cost
72
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 272
- Total Day Supply
- 6,656
- Generic Drug Cost
- $4K
- Opioid Claims
- 15 (6.6% rate)
- Antibiotic Claims
- 19
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 3.16
- Gender Split
- 43% female / 57% male
- Age Distribution
- <65: 11, 65-74: 27, 75-84: 23, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Furosemide | 12 |
| Atorvastatin Calcium | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Kanwal Naveen Bains, MD fits within the Internal Medicine Physician landscape nationally.
172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Kanwal Naveen Bains, MD's 226 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Rhode Island
Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as Bains.
Dr. Salvatore Abbruzzese
D.O. PC
Wakefield, RI
Dr. Thaer Abdelfattah
M.D.
Providence, RI
Dr. Azamat Abdyraimov
MD
Providence, RI
Dr. Marie Abejuela
MD
Providence, RI
Dr. Joanna Abi Chebl
MD
Providence, RI
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Rhode Island medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Kanwal Naveen Bains, MD's specialty? ▼
Kanwal Naveen Bains, MD specializes in Internal Medicine Physician and practices in Providence, Rhode Island. Credentials: MD.
How much does Kanwal Naveen Bains, MD prescribe under Medicare Part D? ▼
In 2023, Kanwal Naveen Bains, MD wrote 226 Medicare Part D claims totaling $30K in drug costs for 72 beneficiaries.
What is Kanwal Naveen Bains, MD's Medicare quality score? ▼
Kanwal Naveen Bains, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 84.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kanwal Naveen Bains, MD located? ▼
Kanwal Naveen Bains, MD is located at 825 CHALKSTONE AVE, Providence, RI, 02908. Phone: (401) 456-2000.
What is Kanwal Naveen Bains, MD's NPI number? ▼
Kanwal Naveen Bains, MD's National Provider Identifier (NPI) is 1134609498, issued on 08/16/2018.
Does Kanwal Naveen Bains, MD prescribe opioids? ▼
Yes, Kanwal Naveen Bains, MD had 15 opioid claims in 2023 with an opioid prescribing rate of 6.6%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Kanwal Naveen Bains, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kanwal Naveen Bains, MD's most frequently prescribed drugs include Furosemide, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kanwal Naveen Bains, MD accept Medicare? ▼
Kanwal Naveen Bains, MD appears in CMS Medicare data with 226 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kanwal Naveen Bains, MD's credentials? ▼
Kanwal Naveen Bains, MD's NPI is 1134609498 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.