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SONAM GHANSHYAM KAPADIA M.D.
NPI 1013362417
Surgery in Lancaster, CA

Active since May 04, 2016PECOS Enrolled
69.15/100
CMS Quality Rating
335 E AVENUE I, LANCASTER, CA 93535(661) 471-4220 Get Directions Write a Review

NPPES record last updated: September 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2023, Aug 11, 2022 (2 updates tracked since 2022).

About Sonam Ghanshyam Kapadia M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONAM GHANSHYAM KAPADIA M.D. (NPI 1013362417) is an individual surgery provider in Lancaster, California, licensed in California (A150681) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013362417
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSONAM GHANSHYAM KAPADIACredential: M.D.
Location Address335 E AVENUE ILancaster, CA 93535-1916
Mailing Address335 E Avenue ILancaster, CA 93535-1916 · (661) 471-4220
Phone(661) 471-4220
Sole ProprietorNo
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 2, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2023
✔ NPI 1013362417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A150681
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
335 E AVENUE I, Lancaster, CA 93535
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonam Ghanshyam Kapadia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sonam Kapadia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Los Angeles Auditor Controller
15 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 435 clinicians in this Medicare group
NPI 1366453045 (661) 948-8581
Regents Of The Univ Of Ca
328 mi
Urogynecology and Reconstructive Pelvic Surgery
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1285068783 (916) 734-6483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.56
Promoting Interoperability88
Improvement Activities40
Cost23.62

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 948-8581
COUNTY OF LOS ANGELES
Clinic/Center
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 471-4280
RENISHA GILLIAM LVN, RN
Licensed Vocational Nurse
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 471-4324
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 948-8581
CHRISTINA A YACOUB CLS
Specialist/Technologist, Pathology (Medical Technologist)
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 471-4122
YUDID FELICITAS OSUNA LCSW
Social Worker (Clinical)
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 471-4287
RENEE LASHON POLEE
Licensed Vocational Nurse
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 471-4055
DONALD LA BAR RN
Registered Nurse (Ambulatory Care)
335 E AVENUE I
LANCASTER, CA 93535
Los Angeles County (661) 471-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sonam Kapadia's NPI number?

The NPI number for Sonam Kapadia is 1013362417. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Sonam Kapadia located?

Sonam Kapadia practices at 335 E Avenue I, Lancaster, CA 93535. The listed phone number is (661) 471-4220.

What is Sonam Kapadia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sonam Kapadia enrolled in Medicare?

Yes. Sonam Kapadia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sonam Kapadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonam Kapadia reassigns Medicare benefits to 2 organizations: County Of Los Angeles Auditor Controller (Lancaster, CA) and Regents Of The Univ Of Ca (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonam Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sonam Kapadia was last updated on September 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.