PANKAJ KAPADIA MD
NPI 1740418979
Internal Medicine - Critical Care Medicine in San Antonio, TX
About Pankaj Kapadia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PANKAJ KAPADIA MD (NPI 1740418979) is an individual critical care medicine provider in San Antonio, Texas, licensed in Texas (N6408) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital Of Laredo, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted 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
Pankaj 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.
Medicare Billing Reassignments
6Medicare enrollment records show Pankaj Kapadia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78230
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 681 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 33 clinicians in this Medicare group
San Marcos, TX 78666
- Reassigned Medicare billing, Texas enrollment
- 31 clinicians in this Medicare group
Corpus Christi, TX 78404
- Reassigned Medicare billing, Texas enrollment
- 69 clinicians in this Medicare group
Beaumont, TX 77702
- Reassigned Medicare billing, Texas enrollment
- 84 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Doctors Hospital Of Laredo
Acute Care Hospitals · Laredo, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78216 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.
Reported Quality Measures
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 Pankaj Kapadia's NPI number?
The NPI number for Pankaj Kapadia is 1740418979. It was assigned to this individual provider in the NPPES registry on June 25, 2009.
Where is Pankaj Kapadia located?
Pankaj Kapadia practices at 11765 West Ave # 199, San Antonio, TX 78216. The listed phone number is (210) 468-8255.
What is Pankaj Kapadia's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Pankaj Kapadia enrolled in Medicare?
Yes. Pankaj 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 Pankaj Kapadia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Kapadia reassigns Medicare benefits to 6 organizations: Star Team Intensive Care And Hospitalist PLLC (San Antonio, TX), Hospital Medicine Services Of Tx, PLLC (San Antonio, TX), Cepamerica Texas PA (San Antonio, TX), Central Texas Intensivists, PLLC (San Marcos, TX), Gulf Coast Intensivists, PLLC (Corpus Christi, TX) 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 Pankaj Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pankaj Kapadia accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Pankaj 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 Pankaj Kapadia affiliated with any hospitals?
According to CMS data, Pankaj Kapadia is affiliated with Doctors Hospital Of Laredo.
When was this NPI record last updated?
The NPPES record for Pankaj Kapadia was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Pankaj Kapadia, MD · NPI 1740418979
Critical Care Medicine physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since June 25, 2009.
## Identity
- **NPI:** 1740418979 (Entity type: Individual)
- **Enumerated:** June 25, 2009
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** N6408 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11765 WEST AVE # 199, San Antonio, TX 78216-2559
- **Phone:** (210) 468-8255
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Star Team Intensive Care And Hospitalist PLLC (NPI 1063070571, San Antonio, TX); Hospital Medicine Services Of Tx, PLLC (NPI 1881392363, San Antonio, TX); Cepamerica Texas PA (NPI 1881269934, San Antonio, TX); Central Texas Intensivists, PLLC (NPI 1205690765, San Marcos, TX); Gulf Coast Intensivists, PLLC (NPI 1104509199, Corpus Christi, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** October 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1740418979) · Data from the CMS NPPES public registry.