NPIMap

Individual provider Active NPI

Peter Raymond Kvapil, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1023093481
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
L4028 Issued in TX
Practice address
129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3001
Phone
(936) 321-5440
Fax
(936) 271-2606
NPI assigned
Dec 8, 2005
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X L4028 TX Primary

Addresses

Primary practice location

129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3001

Mailing address

129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3001
Phone (936) 321-5440

Other identifiers 3

IdentifierTypeStateIssuer
0012MPOtherTXBCBS
173634001MedicaidTX
P00244586OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000266 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 9638110075 Reassigns benefits to 1 organization
Practice locations: Shenandoah, TX

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Partners of North Houston PLLCGroup PAC ID 0143563304, 10 clinicians

Practice addresses (Care Compare)

129 Vision Park Blvd
Suite 307
Shenandoah, TX 77384-3024
Phone 9363215440135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy168
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L4028TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Partners of North Houston PLLC Gastroenterology CurrentSince Feb 22, 2019 Accepting new patients

Locations

129 Vision Park Blvd
Ste 307
Shenandoah, TX 77384
Phone (936) 321-5440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEAADA/Endpoint/EEAADA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1023093481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD",
            "address_2": "# 307",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "936-321-5440",
            "fax_number": "936-271-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD",
            "address_2": "# 307",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "936-321-5440",
            "fax_number": "936-271-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVAPIL",
        "first_name": "PETER",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L4028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0012MP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173634001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00244586",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.