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DANIEL KAPADIA M.D.
NPI 1093179681
Internal Medicine - Pulmonary Disease in Rochester, MI

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
1101 W UNIVERSITY DR, ROCHESTER, MI 48307(734) 377-4040 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2023, Dec 14, 2018 (2 updates tracked since 2018).

About Daniel Kapadia M.d. NPPES

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

DANIEL KAPADIA M.D. (NPI 1093179681) is an individual pulmonary disease provider in Rochester, Michigan, licensed in Michigan (4301109587) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093179681
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDANIEL KAPADIACredential: M.D.
Location Address1101 W UNIVERSITY DRRochester, MI 48307-1863
Mailing Address26185 Tawas StMadison Heights, MI 48071-3771 · (734) 377-4040
Phone(734) 377-4040
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2016
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1093179681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 4301109587
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301109587 (MI)
1101 W UNIVERSITY DR, Rochester, MI 48307
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Daniel Kapadia M.d. 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 ID244575900
PECOS Enrollment IDI20181227001704
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services37 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
50 services40 patients
Diagnostic exam of lung airway using an endoscope 31622
This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.
30 services24 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
29 services28 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.
28 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims9,075 services$0.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$60.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. PATRICE ZURDOSKY CRNA
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 652-5354
MR. CHRISTOPHER THOMAS PICHETTE CRNA
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 652-5354
DR. BEVERLY HUSZARIK M.D.
Emergency Medicine (Emergency Medical Services)
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 652-5000
MR. KENNETH SCHWARCZ PSYCHOLOGIST
Psychologist (Cognitive & Behavioral)
1101 W UNIVERSITY DR, ATTN: SUSAN MURRAY
ROCHESTER, MI 48307
Oakland County (248) 652-5813
MS. SHARON BAILEY MASTER SOCIAL WORKER
Social Worker
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 652-5813
RENE D LOREDO MD
Radiology (Diagnostic Radiology)
1101 W UNIVERSITY DR, RADIOLOGY DEPT
ROCHESTER, MI 48307
Oakland County (248) 652-5325
LAWRENCE J ASHKER DO
Radiology (Diagnostic Radiology)
1101 W UNIVERSITY DR, RADIOLOGY DEPT
ROCHESTER, MI 48307
Oakland County (248) 652-5325
JEFFREY M SHULAK MD
Radiology (Diagnostic Radiology)
1101 W UNIVERSITY DR, RADIOLOGY DEPT
ROCHESTER, MI 48307
Oakland County (248) 652-5325

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 Daniel Kapadia's NPI number?

The NPI number for Daniel Kapadia is 1093179681. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Daniel Kapadia located?

Daniel Kapadia practices at 1101 W University Dr, Rochester, MI 48307. The listed phone number is (734) 377-4040.

What is Daniel Kapadia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Daniel Kapadia enrolled in Medicare?

Yes. Daniel 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 Daniel Kapadia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Daniel 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 Daniel Kapadia affiliated with any hospitals?

According to CMS data, Daniel Kapadia is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Henry Ford Health Wyandotte Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Kapadia was last updated on April 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.