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DR. AVNI SAGAR KAPADIA MD
NPI 1639335839
Hospitalist in Chattanooga, TN

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
2525 DESALES AVENUE, CHATTANOOGA, TN 37404(423) 495-2620(423) 495-2625 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Avni Sagar Kapadia Md NPPES

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

DR. AVNI SAGAR KAPADIA MD (NPI 1639335839) is an individual hospitalist provider in Chattanooga, Tennessee, licensed in Tennessee (47638) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1639335839
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. AVNI SAGAR KAPADIACredential: MD
Location Address2525 DESALES AVENUEChattanooga, TN 37404-1161
Mailing Address2525 Desales AvenueChattanooga, TN 37404-1161 · (423) 495-2620 · Fax (423) 495-2625
Phone(423) 495-2620
Fax(423) 495-2625
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 6, 2008
Last NPPES UpdateAugust 9, 2011
✔ NPI 1639335839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 47638
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2525 DESALES AVENUE, Chattanooga, TN 37404
Open in Google Maps ↗

Other Names 1

Former Name (1)Avni Maheshbhai Thanki

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Dr. Avni Sagar Kapadia Md 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 ID143490649
PECOS Enrollment IDI20110818000651
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 5

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.
409 services186 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.
179 services176 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.
171 services102 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.
44 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110236
Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County
Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers49 claims49 services$17.52 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers16 claims16 services$912.67 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$6.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers64 claims64 services$66.49 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 20

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

SHERRY L. SEXTON FNP
Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Hamilton County (423) 697-0014
EUN KYUNG LEE M.D.
Internal Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Hamilton County (423) 495-2620
JONATHAN B. REINSCHMIDT MD
Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Hamilton County (423) 697-0014
ERIC D SCHUBERT MD
Pathology (Anatomic Pathology & Clinical Pathology)
2525 DESALES AVENUE, PATHOLOGY LABORATORY
CHATTANOOGA, TN 37404
Hamilton County (423) 495-8703
FORREST A. KING FNP
Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Hamilton County (423) 697-0014
ROBERT L. MCVIE NURSE PRACTITIONER
Nurse Practitioner
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Hamilton County (423) 697-0014
JOHN T BICKEL MD
Pathology (Anatomic Pathology & Clinical Pathology)
2525 DESALES AVENUE, PATHOLOGY LABORATORY
CHATTANOOGA, TN 37404
Hamilton County (423) 495-8703
DR. JESSICA A. WHITTLE MD
Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Hamilton County (423) 697-0014

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 Avni Kapadia's NPI number?

The NPI number for Avni Kapadia is 1639335839. It was assigned to this individual provider in the NPPES registry on August 6, 2008. The provider is also known as Avni Maheshbhai Thanki.

Where is Avni Kapadia located?

Avni Kapadia practices at 2525 Desales Avenue, Chattanooga, TN 37404. The listed phone number is (423) 495-2620.

What is Avni Kapadia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Avni Kapadia enrolled in Medicare?

Yes. Avni 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.

What insurance does Avni Kapadia accept?

Health plans from Alliant Health Plans, Inc. list Avni 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 Avni Kapadia affiliated with any hospitals?

According to CMS data, Avni Kapadia is affiliated with Chi Memorial Hospital- Georgia and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Avni Kapadia was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.