TINA PATEL KAPADIA D.O.
NPI 1972920825
Hospitalist in Santa Monica, CA

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
1250 16TH ST # C2304, SANTA MONICA, CA 90404(310) 319-4698(310) 319-4908 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2019, Jul 21, 2017 (2 updates tracked since 2017).

About Tina Patel Kapadia D.o. NPPES

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

TINA PATEL KAPADIA D.O. (NPI 1972920825) is an individual hospitalist provider in Santa Monica, California, licensed in California (20A15481) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972920825
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameTINA PATEL KAPADIACredential: D.O.
Location Address1250 16TH ST # C2304Santa Monica, CA 90404-1249
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631
Fax(310) 319-4908
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateAugust 20, 20192 updates tracked since enumeration
NPI 1972920825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · 20A15481
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 20A15481 (CA)
1250 16TH ST # C2304, Santa Monica, CA 90404

Secondary Practice Locations 2

Location 1100 Moody Ct Ste 110Thousand Oaks, CA 91360-6076 · Phone (805) 418-3500 · Fax (805) 418-3505
Location 2757 Westwood Plz Ste 7501Los Angeles, CA 90095-3804 · Phone (310) 267-9643 · Fax (310) 267-3840

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

Tina Patel Kapadia D.o. 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 ID840569034
PECOS Enrollment IDI20170630002465
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 14

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.
379 services224 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
151 services134 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
116 services116 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services43 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
43 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$39.07 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
1 supplier22 claims22 services$62.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$31.77 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.

Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404

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 Tina Kapadia's NPI number?

The NPI number for Tina Kapadia is 1972920825. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Tina Kapadia located?

Tina Kapadia practices at 1250 16th St # C2304, Santa Monica, CA 90404. The listed phone number is (310) 319-4698.

What is Tina Kapadia's specialty?

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

Is Tina Kapadia enrolled in Medicare?

Yes. Tina 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.

When was this NPI record last updated?

The NPPES record for Tina Kapadia was last updated on August 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.