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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VISHAL PANKAJ KAPADIA D.O.
NPI 1609219864
Internal Medicine - Hospice and Palliative Medicine in Houston, TX

Active since April 08, 2013PECOS Enrolled
74.59/100
CMS Quality Rating
708 MAIN ST FL 10, HOUSTON, TX 77002(855) 212-2273 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2026, Dec 8, 2022, Aug 2, 2019 and 2 more (5 updates tracked since 2016).

About Vishal Pankaj Kapadia D.o. NPPES

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

VISHAL PANKAJ KAPADIA D.O. (NPI 1609219864) is an individual hospice and palliative medicine provider in Houston, Texas, licensed in Texas (S2363) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1609219864
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameVISHAL PANKAJ KAPADIACredential: D.O.
Location Address708 MAIN ST FL 10Houston, TX 77002-3246
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273
Phone(855) 212-2273
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateApril 8, 2013
Last NPPES UpdateOctober 11, 20265 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1609219864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in TX · S2363
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2016028067 (MO)
Also ListedHospitalistTaxonomy 208M00000X · License 2016028067 (MO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
708 MAIN ST FL 10, Houston, TX 77002
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Secondary Practice Locations 3

Location 16363 N State Highway 161 Ste 100Irving, TX 75038-2239 · Phone (469) 200-3272
Location 25200 Harry Hines BlvdDallas, TX 75235-7709 · Phone (214) 590-4656
Location 33015 N Ballas RdSaint Louis, MO 63131-2329 · Phone (314) 996-5772 · Fax (314) 996-7691

Other Identifiers 1

Medicaid1609219864TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vishal Pankaj Kapadia D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597069377
PECOS Enrollment IDI20260514004488
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

6

Medicare enrollment records show Vishal Kapadia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monogram Health Professional Services Of Texas PLLC
658 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Texas enrollment
  • 91 clinicians in this Medicare group
NPI 1396481255 (615) 465-8684
Monogram Health Professional Services PC
658 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
NPI 1336748300 (615) 673-4455
Monogram Health Professional Services Of Florida LLC
826 mi
Nephrology
4720 SALISBURY RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
NPI 1538883111 (615) 673-4455
Monogram Health Professional Services Of Iowa PLLC
859 mi
Nephrology
4620 E 53RD ST STE 200
Davenport, IA 52807
  • Reassigned Medicare billing, Iowa enrollment
  • 46 clinicians in this Medicare group
NPI 1285344150 (615) 623-4455
Monogram Health Professional Services Of California PC
1,352 mi
Nephrology
333 CITY BLVD W STE 362
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1245950757 (615) 673-4455
Monogram Health Professional Services Of New Jersey LLC
1,423 mi
Nephrology
140 E RIDGEWOOD AVE STE 415
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 58 clinicians in this Medicare group
NPI 1578284246 (615) 673-4455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

RAYMOND JEFFREY THOMPSON
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (832) 584-1436
TAMMY CULLUM
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (877) 418-2978
MAYRA ALEJANDRA RANGEL PA-C
Physician Assistant (Medical)
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (855) 212-2273
TAMARA SHELTON
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (877) 418-2978
ERICA HODGE RBT
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (877) 418-2978
MIRNA EL SAYED
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (877) 418-2978
JESUS ALEJANDRO ELIZONDO
Nurse Practitioner (Family)
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (855) 212-2273
JACKSON MATHEW
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Harris County (214) 475-8389

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 Vishal Kapadia's NPI number?

The NPI number for Vishal Kapadia is 1609219864. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Vishal Kapadia located?

Vishal Kapadia practices at 708 Main St Fl 10, Houston, TX 77002. The listed phone number is (855) 212-2273.

What is Vishal Kapadia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Vishal Kapadia enrolled in Medicare?

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

Which organizations bill Medicare for Vishal Kapadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Kapadia reassigns Medicare benefits to 6 organizations: Monogram Health Professional Services Of Texas PLLC (Brentwood, TN), Monogram Health Professional Services PC (Brentwood, TN), Monogram Health Professional Services Of Florida LLC (Jacksonville, FL), Monogram Health Professional Services Of Iowa PLLC (Davenport, IA), Monogram Health Professional Services Of California PC (Orange, CA) and 1 more organization, listed in the Medicare section above. 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 Vishal Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vishal Kapadia accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vishal 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 Vishal Kapadia was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.