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AMI KAPADIA M.D.
NPI 1366565509
Family Medicine in Vancouver, WA

Active since April 10, 2007PECOS Enrolled
87.76/100
CMS Quality Rating
11719 NE 95TH ST STE A/D, VANCOUVER, WA 98682(360) 397-8246 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2023, Oct 20, 2020 (2 updates tracked since 2020).

About Ami Kapadia M.d. NPPES

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

AMI KAPADIA M.D. (NPI 1366565509) is an individual family medicine provider in Vancouver, Washington, licensed in Oregon (MD 153491) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1366565509
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMI KAPADIACredential: M.D.
Location Address11719 NE 95TH ST STE A/DVancouver, WA 98682-2444
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(360) 397-8246
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1366565509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD 153491✔ Licensed in PA · MD433101✔ Licensed in WA · MD.MD.61420145
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.
11719 NE 95TH ST STE A/D, Vancouver, WA 98682
Open in Google Maps ↗

Secondary Practice Location 1

Location 11321 NE 99th Ave, SUITE 100Portland, OR 97220-9436 · Phone (503) 215-9900

Other Identifiers 4

Medicaid500637214OR
OtherP00983321OR · Rr Medicare - Ph&s
Medicaid0171948NJ
Medicaid1021982730001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ami Kapadia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ami Kapadia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
12 mi
Oncology, Radiation
3620 N INTERSTATE AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon enrollment
  • 3,207 clinicians in this Medicare group
NPI 1093043424 (503) 280-2931

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 98682 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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 Ami Kapadia's NPI number?

The NPI number for Ami Kapadia is 1366565509. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Ami Kapadia located?

Ami Kapadia practices at 11719 NE 95th St Ste A/D, Vancouver, WA 98682. The listed phone number is (360) 397-8246.

What is Ami Kapadia's specialty?

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

Is Ami Kapadia enrolled in Medicare?

Yes. Ami Kapadia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ami Kapadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ami Kapadia reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The 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 Ami Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ami Kapadia accept?

Health plans from Providence Health Plan list Ami 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 Ami Kapadia was last updated on April 4, 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.