PRAGNA KAPADIA D.O.
NPI 1407029473
Internal Medicine - Hematology & Oncology in Hartford, CT

Active since April 10, 2008PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
85 RETREAT AVE, HARTFORD, CT 06106(860) 249-6291(860) 728-0151 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pragna Kapadia D.o. NPPES

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

PRAGNA KAPADIA D.O. (NPI 1407029473) is an individual hematology & oncology provider in Hartford, Connecticut, licensed in Connecticut (046376) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1407029473
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NamePRAGNA KAPADIACredential: D.O.
Location Address85 RETREAT AVEHartford, CT 06106-2555
Mailing Address85 Retreat AveHartford, CT 06106-2555 · (860) 249-6291 · Fax (860) 728-0151
Fax(860) 728-0151
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2002
Enumeration DateApril 10, 2008
Last NPPES UpdateSeptember 26, 2022
NPI 1407029473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CT · 046376
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

85 RETREAT AVE, Hartford, CT 06106

Other Identifiers 1

Medicaid008001238CT

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

Pragna Kapadia D.o. 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 ID9830262088
PECOS Enrollment IDI20080721000648
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 4

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.
114 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

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.

Internal Medicine (Medical Oncology)
85 RETREAT AVE
HARTFORD, CT 06106
Physician Assistant (Medical)
85 RETREAT AVE
HARTFORD, CT 06106
Radiology (Radiation Oncology)
85 RETREAT AVE
HARTFORD, CT 06106
Pharmacist (Oncology)
85 RETREAT AVE
HARTFORD, CT 06106
Internal Medicine (Medical Oncology)
85 RETREAT AVE
HARTFORD, CT 06106
Nurse Practitioner (Adult Health)
85 RETREAT AVE
HARTFORD, CT 06106
Genetic Counselor, MS
85 RETREAT AVE
HARTFORD, CT 06106
Specialist
85 RETREAT AVE
HARTFORD, CT 06106

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 Pragna Kapadia's NPI number?

The NPI number for Pragna Kapadia is 1407029473. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is Pragna Kapadia located?

Pragna Kapadia practices at 85 Retreat Ave, Hartford, CT 06106. The listed phone number is (860) 249-6291.

What is Pragna Kapadia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Pragna Kapadia enrolled in Medicare?

Yes. Pragna 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.

When was this NPI record last updated?

The NPPES record for Pragna Kapadia was last updated on September 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.