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SAMEER MEHBUB KAPADIA M.D.
NPI 1588007231
Plastic Surgery in Elk Grove Village, IL

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
84.37/100
CMS Quality Rating
800 BIESTERFIELD RD STE 765, ELK GROVE VILLAGE, IL 60007(312) 872-8514 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2024, Jul 28, 2023, Jul 3, 2023 and 1 more (4 updates tracked since 2018).

About Sameer Mehbub Kapadia M.d. NPPES

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

SAMEER MEHBUB KAPADIA M.D. (NPI 1588007231) is an individual plastic surgery provider in Elk Grove Village, Illinois, licensed in Illinois (036157232) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1588007231
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameSAMEER MEHBUB KAPADIACredential: M.D.
Location Address800 BIESTERFIELD RD STE 765Elk Grove Village, IL 60007-3361
Mailing Address2517 W Shakespeare AveChicago, IL 60647-4117 · (312) 872-8514
Phone(312) 872-8514
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2021
Enumeration DateApril 12, 2013
Last NPPES UpdateDecember 6, 20244 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1588007231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 036157232
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
800 BIESTERFIELD RD STE 765, Elk Grove Village, IL 60007
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Secondary Practice Location 1

Location 12845 N. SHERIDAN RD, STE 903CHICAGO, IL 60657 · Phone (312) 872-8514

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Sameer Mehbub Kapadia M.d. 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 ID547673626
PECOS Enrollment IDI20210901001177
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 Reassignments

4

Medicare enrollment records show Sameer Kapadia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bonaventure Medical Foundation, LLC
0.1 mi
Family Medicine
701 BIESTERFIELD RD UNIT 4D
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 281 clinicians in this Medicare group
NPI 1588775647 (855) 692-6482
Presence Healthcare Services
0.1 mi
Multi-Specialty
701 BIESTERFIELD RD UNIT 4D
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group
NPI 1932216819 (833) 291-0464
Prime Healthcare Illinois Medical Group LLC
8.2 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464
Prism Plastic Surgery PLLC
20 mi
Plastic and Reconstructive Surgery
2845 N. SHERIDAN RD, STE 903
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
NPI 1245917038 (312) 872-8514

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 7

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.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
49 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services28 patients
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.
25 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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.
16 services16 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60007 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

84.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality61.27
Promoting Interoperability93
Improvement Activities40

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 Sameer Kapadia's NPI number?

The NPI number for Sameer Kapadia is 1588007231. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Sameer Kapadia located?

Sameer Kapadia practices at 800 Biesterfield Rd Ste 765, Elk Grove Village, IL 60007. The listed phone number is (312) 872-8514.

What is Sameer Kapadia's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Sameer Kapadia enrolled in Medicare?

Yes. Sameer 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 Sameer Kapadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sameer Kapadia reassigns Medicare benefits to 4 organizations: Bonaventure Medical Foundation, LLC (Elk Grove Village, IL), Presence Healthcare Services (Elk Grove Village, IL), Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL) and Prism Plastic Surgery PLLC (Chicago, IL). 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 Sameer Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sameer Kapadia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sameer 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.

Is Sameer Kapadia affiliated with any hospitals?

According to CMS data, Sameer Kapadia is affiliated with Alexian Brothers Medical Center 1, St Alexius Medical Center and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Sameer Kapadia was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.