NAFISA SAJAUDDIN KAPADIA MD
NPI 1770520207
Pathology - Anatomic Pathology & Clinical Pathology in Farmington Hills, MI


Quality Rating: 84.72 out of 100 score

NPI Status: Active since June 01, 2006

Contact Information

28050 GRAND RIVER AVE
FARMINGTON HILLS, MI
ZIP 48336
Phone: (248) 471-8238
Fax: (248) 478-3250

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  • Individual
  • Female
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance

About NAFISA KAPADIA

This page provides the complete NPI Profile along with additional information for Nafisa Kapadia, a provider established in Farmington Hills, Michigan with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1770520207 assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301042380 (MI). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1770520207
Provider Name
NAFISA SAJAUDDIN KAPADIA MD
Gender
Female
Entity Type
Individual
Location Address
28050 GRAND RIVER AVE FARMINGTON HILLS, MI 48336
Location Phone
(248) 471-8238
Location Fax
(248) 478-3250
Mailing Address
26901 BEAUMONT BLVD STE 3D SOUTHFIELD, MI 48033
Mailing Phone
(947) 522-1862
Mailing Fax
(248) 478-3250
Is Sole Proprietor?
No
Enumeration Date
06-01-2006
Last Update Date
01-18-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
4301042380
License State
MI
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Southeast Michigan Network - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO
  • MyPriority Value Bronze HSA Southeast Michigan Network - HMO
  • MyPriority Value Bronze Southeast Michigan Network - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 59 times for 54 patients

Evaluation of fine needle aspirate

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

This service was performed 12 times for 12 patients

Evaluation of fine needle aspirate with interpretation and report

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

This service was performed 55 times for 32 patients

Pap test

A Pap test is a routine exam that checks for changes in cells that could signal a health concern. During this test, a small sample of cells is gently collected from the lower region of the body. The sample is then examined under a microscope to ensure everything looks normal.

This service was performed 13 times for 13 patients

Pathology examination of specimen during surgery, first tissue block

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

This service was performed 30 times for 18 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 724 times for 350 patients

Pathology examination of tissue using a microscope, limited examination

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

This service was performed 47 times for 46 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 62 times for 49 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 60 times for 50 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 31 times for 28 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 95 times for 34 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 68 times for 64 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.72, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 84.72 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 80.68

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 68.39

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 68.39

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770520207, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 0 + 2 + 0 + 2 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770520207.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
28050 GRAND RIVER AVE, BOTSFORD GENERAL HOSPITAL ANESTHESIA DEPT
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Radiology (Diagnostic Radiology)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Pathology (Anatomic Pathology & Clinical Pathology)
28050 GRAND RIVER AVE, ATTN BOTSFORD HOSPITAL, PATHOLOGY
FARMINGTON HILLS, MI 48336
Anesthesiology
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Pathology (Anatomic Pathology & Clinical Pathology)
28050 GRAND RIVER AVE, ATTN BOTSFORD HOSPITAL, PATHOLOGY
FARMINGTON HILLS, MI 48336
Family Medicine
28050 GRAND RIVER AVE, ATTN.: MEDICAL ADMINISTRATION
FARMINGTON HILLS, MI 48336
Emergency Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Anesthetist, Certified Registered
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770520207, enumerated as an "individual" on June 01, 2006.

The provider is located at 28050 GRAND RIVER AVE FARMINGTON HILLS, MI 48336 and the phone number is (248) 471-8238.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.