DR. MITESH K KAPADIA M.D.
NPI 1245212364
Ophthalmology in Boston, MA
About Dr. Mitesh K Kapadia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITESH K KAPADIA M.D. (NPI 1245212364) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (223549) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
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
Dr. Mitesh K 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mitesh Kapadia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 106 clinicians in this Medicare group
Lawrence, MA 01863
- Reassigned Medicare billing, Massachusetts enrollment
- 17 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tufts Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
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 Mitesh Kapadia's NPI number?
The NPI number for Mitesh Kapadia is 1245212364. It was assigned to this individual provider in the NPPES registry on November 15, 2005.
Where is Mitesh Kapadia located?
Mitesh Kapadia practices at 750 Washington St Box 750, Boston, MA 02111. The listed phone number is (617) 636-7770.
What is Mitesh Kapadia's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mitesh Kapadia enrolled in Medicare?
Yes. Mitesh 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 Mitesh Kapadia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitesh Kapadia reassigns Medicare benefits to 2 organizations: Pratt Ophthalmology Associates Inc (Boston, MA) and Tallman Eye Bidco (Lawrence, MA). 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 Mitesh Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitesh Kapadia accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mitesh 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 Mitesh Kapadia affiliated with any hospitals?
According to CMS data, Mitesh Kapadia is affiliated with Tufts Medical Center.
When was this NPI record last updated?
The NPPES record for Mitesh Kapadia was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Mitesh K Kapadia, M.D. · NPI 1245212364
Ophthalmology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since November 15, 2005.
## Identity
- **NPI:** 1245212364 (Entity type: Individual)
- **Enumerated:** November 15, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 223549 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 WASHINGTON ST, BOX 750, Boston, MA 02111-1526
- **Phone:** (617) 636-7770 · **Fax:** (617) 636-0759
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Pratt Ophthalmology Associates Inc (NPI 1083660534, Boston, MA); Tallman Eye Bidco (NPI 1033419072, Lawrence, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 2001
## Record status
- **NPPES last updated:** July 30, 2008
- **Other identifiers:** Medicare ID-Type Unspecified A38693 (MA); Medicaid 2099853 (MA); Other J28537 (MA); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1245212364) · Data from the CMS NPPES public registry.