DR. PRASHANT KAPADIA OD
NPI 1265572192
Optometrist in Brownstown, MI
About Dr. Prashant Kapadia Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRASHANT KAPADIA OD (NPI 1265572192) is an individual optometrist in Brownstown, Michigan, licensed in Michigan (4901004256) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2003).
NPPES Registry Identity
Specialties & Licenses
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
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
Dr. Prashant Kapadia Od 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Prashant Kapadia's NPI number?
The NPI number for Prashant Kapadia is 1265572192. It was assigned to this individual provider in the NPPES registry on February 8, 2007.
Where is Prashant Kapadia located?
Prashant Kapadia practices at 19335 Allen Road, Brownstown, MI 48183. The listed phone number is (734) 479-5580.
What is Prashant Kapadia's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Prashant Kapadia enrolled in Medicare?
Yes. Prashant 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 Prashant 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 6 other insurers list Prashant 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 Prashant Kapadia was last updated on August 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
