Dr Lav A Kapadia, MD - Medicare Otolaryngology in Frisco, TX

Dr Lav A Kapadia, MD is a medicare enrolled "Otolaryngology" physician in Frisco, Texas. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Texas Ear, Nose And Throat Specialists, Pllc, Ear, Nose And Throat Associates Of Frisco, P.a. and his current practice location is 4401 Coit Rd, Suite 411, Frisco, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 731-7654.

Dr Lav A Kapadia is licensed to practice in Texas (license number J8618) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437153418.

Contact Information

Dr Lav A Kapadia, MD
4401 Coit Rd, Suite 411,
Frisco, TX 75035-0500
(972) 731-7654
(972) 731-6226

Map and Direction




Physician's Profile

Full NameDr Lav A Kapadia
GenderMale
SpecialityOtolaryngology
Experience30 Years
Location4401 Coit Rd, Frisco, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lav A Kapadia attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1437153418
  • Provider Enumeration Date: 06/08/2005
  • Last Update Date: 05/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113838459
  • Enrollment ID: I20080311000418

Medical Identifiers

Medical identifiers for Dr Lav A Kapadia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437153418NPI-NPPES
0456865-01MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology J8618 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center PlanoPlano, TXHospital
Baylor Scott & White Medical Center - CentennialFrisco, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Ear, Nose And Throat Specialists, Pllc5799770202103
Ear, Nose And Throat Associates Of Frisco, P.a.68008679533

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lav A Kapadia allows following entities to bill medicare on his behalf.
Entity NameTexas Ear, Nose & Throat Specialists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255314985
PECOS PAC ID: 5799770202
Enrollment ID: O20040415000492
Entity NameEar, Nose And Throat Associates Of Frisco, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093839342
PECOS PAC ID: 6800867953
Enrollment ID: O20040803001184

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lav A Kapadia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lav A Kapadia, MD
10740 N Gessner Rd Ste 310,
Houston, TX 77064-1240

Ph: (281) 897-0416
Dr Lav A Kapadia, MD
4401 Coit Rd, Suite 411,
Frisco, TX 75035-0500

Ph: (972) 731-7654

Reviews and Comments


Otolaryngology Doctors in Frisco, TX

Dr. Tony Peter, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 8380 Warren Pkwy Ste 504, Frisco, TX 75034
Phone: 972-596-4005    Fax: 972-985-1253
Amy Cornelia Brenski, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 11445 Dallas Pkwy Ste 240, Frisco, TX 75033
Phone: 214-494-4150    Fax: 972-315-9053
Dr. Kenny Bertlyn Carter Jr., M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 8380 Warren Pkwy, Suite 504, Frisco, TX 75034
Phone: 972-596-4005    Fax: 972-985-1253
John Eric Mcclay, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 11445 Dallas Pkwy, Suite 240, Frisco, TX 75033
Phone: 214-494-4150    Fax: 972-315-9011
Ewen Y Tseng, M.D.
Otolaryngology
Medicare: May Accept Medicare Assignments
Practice Location: 8380 Warren Parkway, Suite 504, Frisco, TX 75034
Phone: 972-596-4005    Fax: 972-985-1253
Nicholas James Peiffer, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Coit Rd, Suite 411, Frisco, TX 75035
Phone: 972-731-7654    
Keith E Matheny, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 8380 Warren Parkway, Suite 504, Frisco, TX 75034
Phone: 972-596-4005    Fax: 972-985-1253

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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