MALAVIKA KAPURIA
NPI 1417304064
Internal Medicine in Houston, TX

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
ONE BAYLOR PLAZA, BCM 620, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX 77030(713) 798-4951 Get Directions Write a Review

NPPES record last updated: September 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2019, Jul 15, 2019 (2 updates tracked since 2019).

About Malavika Kapuria NPPES

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

MALAVIKA KAPURIA (NPI 1417304064) is an individual internal medicine provider in Houston, Texas, licensed in Texas (BP10056234) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Baylor College Of Medicine (2016).

NPPES Registry Identity

NPI1417304064
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMALAVIKA KAPURIA
Location AddressONE BAYLOR PLAZA, BCM 620, BAYLOR COLLEGE OF MEDICINEHouston, TX 77030
Mailing AddressOne Baylor Plaza, Bcm 620, Baylor College Of MedicineHouston, TX 77030 · (713) 798-4951
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2016
Enumeration DateMay 24, 2016
Last NPPES UpdateSeptember 14, 20192 updates tracked since enumeration
NPI 1417304064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · BP10056234 Licensed in GA · 83407
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 83407 (GA)
ONE BAYLOR PLAZA, BCM 620, Houston, TX 77030

Other Identifiers 1

OtherBP10056234TX · Texas Medical Board (permit Number)

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

Malavika Kapuria 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 ID6901238559
PECOS Enrollment IDI20191119003463
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
91 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers11 claims15 services$18.63 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers11 claims15 services$7.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
ONE BAYLOR PLAZA, BCM 620, BAYLOR COLLEGE OF MEDICINE, ME
HOUSTON, TX 77030

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 Malavika Kapuria's NPI number?

The NPI number for Malavika Kapuria is 1417304064. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Malavika Kapuria located?

Malavika Kapuria practices at One Baylor Plaza, Bcm 620 Baylor College Of Medicine, Houston, TX 77030. The listed phone number is (713) 798-4951.

What is Malavika Kapuria's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Malavika Kapuria enrolled in Medicare?

Yes. Malavika Kapuria 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.

Is Malavika Kapuria affiliated with any hospitals?

According to CMS data, Malavika Kapuria is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Malavika Kapuria was last updated on September 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.