DR. MONIKA P. KAPUR M.D.
NPI 1871552737
Family Medicine in San Antonio, TX

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
15102 HUEBNER RD, SAN ANTONIO, TX 78231(210) 644-2400(210) 702-6980 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2024, Aug 15, 2024, Jun 6, 2024 and 2 more (5 updates tracked since 2017).

About Dr. Monika P. Kapur M.d. NPPES

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

DR. MONIKA P. KAPUR M.D. (NPI 1871552737) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (M2360) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1871552737
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MONIKA P. KAPURCredential: M.D.
Location Address15102 HUEBNER RDSan Antonio, TX 78231-1739
Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (210) 358-5909 · Fax (210) 358-5940
Fax(210) 702-6980
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 20, 2006
Last NPPES UpdateOctober 10, 20245 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1871552737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M2360
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15102 HUEBNER RD, San Antonio, TX 78231

Other Identifiers 1

Medicaid178316901TX

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

Dr. Monika P. Kapur 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 ID7416977384
PECOS Enrollment IDI20051207000132
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 Reassignment

Medicare enrollment records show Monika Kapur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 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

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.

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.
34 services23 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78231 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 7

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

Family Medicine
15102 HUEBNER RD
SAN ANTONIO, TX 78231
Internal Medicine (Nephrology)
15102 HUEBNER RD
SAN ANTONIO, TX 78231
Family Medicine
15102 HUEBNER RD
SAN ANTONIO, TX 78231
Family Medicine
15102 HUEBNER RD
SAN ANTONIO, TX 78231
Clinic/Center (Primary Care)
15102 HUEBNER RD
SAN ANTONIO, TX 78231
Family Medicine
15102 HUEBNER RD
SAN ANTONIO, TX 78231
Family Medicine
15102 HUEBNER RD
SAN ANTONIO, TX 78231

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 Monika Kapur's NPI number?

The NPI number for Monika Kapur is 1871552737. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Monika Kapur located?

Monika Kapur practices at 15102 Huebner Rd, San Antonio, TX 78231. The listed phone number is (210) 644-2400.

What is Monika Kapur's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monika Kapur enrolled in Medicare?

Yes. Monika Kapur 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 organization bills Medicare for Monika Kapur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monika Kapur reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). The 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 Monika Kapur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monika Kapur accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and WellPoint list Monika Kapur 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 Monika Kapur affiliated with any hospitals?

According to CMS data, Monika Kapur is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Monika Kapur was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.