DEEPAK KAPADIA MD
NPI 1023065745
Internal Medicine - Cardiovascular Disease in Madisonville, KY

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
550 HOSPITAL DR, SUITE B, MADISONVILLE, KY 42431(270) 821-5454(270) 326-4968 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deepak Kapadia Md NPPES

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

DEEPAK KAPADIA MD (NPI 1023065745) is an individual cardiovascular disease provider in Madisonville, Kentucky, licensed in Kentucky (34261) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Muhlenberg Community Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1023065745
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDEEPAK KAPADIACredential: MD
Location Address550 HOSPITAL DR, SUITE BMadisonville, KY 42431-1652
Mailing Address550 Hospital Dr, Suite BMadisonville, KY 42431-1652 · (270) 821-5454 · Fax (270) 326-4968
Fax(270) 326-4968
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateMay 28, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1023065745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in KY · 34261
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
550 HOSPITAL DR, Madisonville, KY 42431

Other Identifiers 2

Medicaid64342611KY
Other000000044327KY · Bcbs Provider Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deepak Kapadia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759301336
PECOS Enrollment IDI20051129000254
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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
762 services591 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
671 services478 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
394 services131 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
362 services362 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
290 services252 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
215 services157 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%3,799 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%4,790 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%2,514 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 70% · 841 patients
87%841 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,514 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%2,514 patients1/55-star benchmark: 89%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Pediatrics (Neonatal-Perinatal Medicine)
550 HOSPITAL DR
MADISONVILLE, KY 42431
Pediatrics (Neonatal-Perinatal Medicine)
550 HOSPITAL DR
MADISONVILLE, KY 42431
Internal Medicine (Cardiovascular Disease)
550 HOSPITAL DR, SUITE B
MADISONVILLE, KY 42431
Pediatrics (Neonatal-Perinatal Medicine)
550 HOSPITAL DR
MADISONVILLE, KY 42431
Pediatrics
550 HOSPITAL DR
MADISONVILLE, KY 42431

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 Deepak Kapadia's NPI number?

The NPI number for Deepak Kapadia is 1023065745. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Deepak Kapadia located?

Deepak Kapadia practices at 550 Hospital Dr Suite B, Madisonville, KY 42431. The listed phone number is (270) 821-5454.

What is Deepak Kapadia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Deepak Kapadia enrolled in Medicare?

Yes. Deepak Kapadia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Deepak Kapadia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Deepak Kapadia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Deepak Kapadia affiliated with any hospitals?

According to CMS data, Deepak Kapadia is affiliated with Owensboro Health Muhlenberg Community Hospital, Jennie Stuart Medical Center, Baptist Health Deaconess Madisonville, Baptist Health Paducah and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Deepak Kapadia was last updated on March 7, 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.