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SOPHIA OUCH CAPILI M.D.
NPI 1225473192
Family Medicine in Garland, TX

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
601 CLARA BARTON BLVD, SUITE 340, GARLAND, TX 75042(972) 272-5935(972) 272-9137 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia Ouch Capili M.d. NPPES

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

SOPHIA OUCH CAPILI M.D. (NPI 1225473192) is an individual family medicine provider in Garland, Texas, licensed in Texas (BP10047431) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1225473192
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOPHIA OUCH CAPILICredential: M.D.
Location Address601 CLARA BARTON BLVD, SUITE 340Garland, TX 75042-5738
Mailing Address601 Clara Barton Blvd, Suite 340Garland, TX 75042-5738 · (972) 272-5935 · Fax (972) 272-9137
Phone(972) 272-5935
Fax(972) 272-9137
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1225473192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · BP10047431
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 CLARA BARTON BLVD, Garland, TX 75042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Sophia Ouch Capili 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 ID9436434586
PECOS Enrollment IDI20170403000284
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 11

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.
176 services95 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
117 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 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.
45 services39 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

SHERRI LYNN MORGAN MD
Family Medicine
601 CLARA BARTON BLVD, SUITE 340
GARLAND, TX 75042
Dallas County (469) 800-2260
DR. GARY V HOSS M.D.
Internal Medicine
601 CLARA BARTON BLVD, SUITE 300
GARLAND, TX 75042
Dallas County (972) 494-6235
DR. ROBERT NEIL SUTER D.O.
Family Medicine
601 CLARA BARTON BLVD, SUITE 340
GARLAND, TX 75042
Dallas County (469) 800-2260
DR. ROBERT ANDREW KOTAS M.D.
Pediatrics
601 CLARA BARTON BLVD
GARLAND, TX 75042
Dallas County (972) 272-7887
HEALTHTEXAS PROVIDER NETWORK--DALLAS DIAGNOSTIC ASSOCIATION
Dermatology
601 CLARA BARTON BLVD, STE 300
GARLAND, TX 75042
Dallas County (972) 494-6235
MARK CONRAD D.O.
Family Medicine
601 CLARA BARTON BLVD, SUITE 340
GARLAND, TX 75042
Dallas County (469) 800-2260
DR. MYRON HENRY ROSEN M.D.
Pediatrics
601 CLARA BARTON BLVD
GARLAND, TX 75042
Dallas County (972) 272-7887
DR. KASTURI INAGANTI M.D.
Internal Medicine (Rheumatology)
601 CLARA BARTON BLVD, SUITE 300
GARLAND, TX 75042
Dallas County (972) 494-6235

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 Sophia Capili's NPI number?

The NPI number for Sophia Capili is 1225473192. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Sophia Capili located?

Sophia Capili practices at 601 Clara Barton Blvd Suite 340, Garland, TX 75042. The listed phone number is (972) 272-5935.

What is Sophia Capili's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sophia Capili enrolled in Medicare?

Yes. Sophia Capili 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 Sophia Capili accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sophia Capili 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 Sophia Capili affiliated with any hospitals?

According to CMS data, Sophia Capili is affiliated with Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Sophia Capili was last updated on March 14, 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.