PRAGNA KAPADIA D.O.
NPI 1407029473
Internal Medicine - Hematology & Oncology in Hartford, CT
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Pragna Kapadia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Farmington, CT 06030
- Reassigned Medicare billing, Connecticut enrollment
- 788 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 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.
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.
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.
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.
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.
Which organizations bill Medicare for Pragna Kapadia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pragna Kapadia reassigns Medicare benefits to 2 organizations: Hartford Hospital (Hartford, CT) and University Of Connecticut Health Center (Farmington, CT). 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 Pragna Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pragna Kapadia was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pragna Kapadia, D.O. · NPI 1407029473
Hematology & Oncology physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1407029473 (Entity type: Individual)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** 046376 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 85 RETREAT AVE, Hartford, CT 06106-2555
- **Phone:** (860) 249-6291 · **Fax:** (860) 728-0151
## 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): Hartford Hospital (NPI 1407806391, Hartford, CT); University Of Connecticut Health Center (NPI 1720083769, Farmington, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rowan University School Of Osteopathic Medicine, class of 2002
## Record status
- **NPPES last updated:** September 26, 2022
- **Other identifiers:** Medicaid 008001238 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1407029473) · Data from the CMS NPPES public registry.