Individual provider Active NPI

Mitesh K Kapadia, M.D.

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1245212364
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
223549 Issued in MA
Practice address
750 Washington St
Box 750
Boston, MA 02111-1526
Phone
(617) 636-7770
Fax
(617) 636-0759
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 223549 MA Primary

Addresses

Primary practice location

750 Washington St
Box 750
Boston, MA 02111-1526

Mailing address

750 Washington St
Box 750
Boston, MA 02111-1526
Phone (617) 636-7770

Other identifiers 4

IdentifierTypeStateIssuer
AA28838OtherMAHARVARD PILGRIM HEALTH CA
486843OtherMATUFTS HEALTH PLAN
2099853MedicaidMA
J28537OtherMABC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000816 MA Practitioner - Ophthalmology 1052345329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487

Hospital & facility affiliations

  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223549MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Bidco Ophthalmology CurrentSince Feb 20, 2016 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince Jul 1, 2006 Accepting new patients
Pratt Ophthalmology Associates, Inc CurrentSince Jul 1, 2006 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients

Locations

750 Washington St
#750
Boston, MA 02111
Phone (617) 636-7770

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

19 Village Sq
Chelmsford, MA 01824
Phone (978) 256-5600

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400

Interoperability endpoints

  • Direct secure messaging: mkapadia29437@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1245212364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "BOX 750",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-7770",
            "fax_number": "617-636-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "BOX 750",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-7770",
            "fax_number": "617-636-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPADIA",
        "first_name": "MITESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "223549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "AA28838",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "486843",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099853",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "J28537",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.