AVNI KAPADIA
NPI 1104243419
Psychiatry & Neurology - Neurology in Houston, TX
About Avni Kapadia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVNI KAPADIA (NPI 1104243419) is an individual neurology provider in Houston, Texas, licensed in Texas (S6655) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Avni Kapadia 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.
Medicare Billing Reassignments
3Medicare enrollment records show Avni Kapadia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 clinicians in this Medicare group
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 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Avni Kapadia's NPI number?
The NPI number for Avni Kapadia is 1104243419. It was assigned to this individual provider in the NPPES registry on March 25, 2014.
Where is Avni Kapadia located?
Avni Kapadia practices at 6501 Fannin St # Nb-302, Houston, TX 77030. The listed phone number is (713) 798-6151.
What is Avni Kapadia's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Avni Kapadia enrolled in Medicare?
Yes. Avni 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.
Which organizations bill Medicare for Avni Kapadia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Avni Kapadia reassigns Medicare benefits to 3 organizations: Baylor College Of Medicine (Houston, TX), Texas Children's Physician Group (Houston, TX) and Baylor College Of Medicine (Houston, TX). 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 Avni Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Avni Kapadia accept?
Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and UnitedHealthcare list Avni 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.
When was this NPI record last updated?
The NPPES record for Avni Kapadia was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Avni Kapadia · NPI 1104243419
Neurology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 25, 2014.
## Identity
- **NPI:** 1104243419 (Entity type: Individual)
- **Enumerated:** March 25, 2014
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** S6655 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 FANNIN ST # NB-302, Houston, TX 77030-2703
- **Phone:** (713) 798-6151
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Baylor College Of Medicine (NPI 1104867175, Houston, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX); Baylor College Of Medicine (NPI 1881026664, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas A & M University System, Hsc, College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** September 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104243419) · Data from the CMS NPPES public registry.