PANKAJ KAPADIA (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1740418979

PANKAJ KAPADIA (MD) is a healthcare provider. based in Downers grove, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. N6408 (TX). The NPI Number for PANKAJ KAPADIA (MD) is 1740418979

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
PANKAJ KAPADIA (MD)
NPI
1740418979
Phone
(210) 468-8255
Address
PO BOX 68
Enumeration Date
25 June 2009
Last Update Date
18 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104688255
Graduation Year
2002 (24 years ago)
PAC ID
0749439958
Group Practice PAC ID
1052642477
Professional Enrollment ID
I20140701001116
Address ID
TX782302625SA11815RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for PANKAJ KAPADIA (MD)

  • PO BOX 68

    DOWNERS GROVE, IL 605150068

    Phone: (210) 468-8255

    Type: Mailing

  • 199, West Avenue, Los Angeles Heights - Keystone, San Antonio, Bexar County, Texas, 78213, United States

    SAN ANTONIO, TX 782162559

    Phone: (210) 468-8255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2023-02-16 • Largest payer in this snapshot: ABIOMED ($135).

Total Amount

$135

General + Research + Ownership

Payments

1

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$135
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140701001116IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes11054$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6127$0
View full utilization report →

Insurance plans in this area (ZIP 60515)

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Provider's Procedures

PANKAJ KAPADIA (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052642477View full group profile
NameSpecialtyState
Critical Care (Intensivists), Internal MedicineTX

Reviews

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Frequently asked questions

What identifier follows PANKAJ KAPADIA (MD) across health systems?
The NPI 1740418979 uniquely identifies PANKAJ KAPADIA (MD) in U.S. healthcare data.
Should I treat PANKAJ KAPADIA (MD) as an active provider?
Patients and plans typically see PANKAJ KAPADIA (MD) as active in the national extract.
How should patients interpret PANKAJ KAPADIA (MD)'s specialty?
The extract shows Critical Care Medicine (Internal Medicine) Physician for PANKAJ KAPADIA (MD). Clinical services aligned with this taxonomy classification.
Can patients visit PANKAJ KAPADIA (MD) in Downers Grove, Illinois?
For routing, start with Downers Grove, Illinois for PANKAJ KAPADIA (MD), then verify phone and hours locally.
Why is information missing for PANKAJ KAPADIA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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