Ketan A Kapadia, MD - Medicare Urology in St Petersburg, FL

Ketan A Kapadia, MD is a medicare enrolled "Urology" physician in St Petersburg, Florida. He went to University Of California, San Francisco School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Urology. He is a member of the group practice Advanced Urology Institute Llc and his current practice location is 5747 38th Ave N, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 381-8667.

Ketan A Kapadia is licensed to practice in Florida (license number ME79719) 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 1043274152.

Contact Information

Ketan A Kapadia, MD
5747 38th Ave N,
St Petersburg, FL 33710-1925
(727) 381-8667
(727) 345-1951

Map and Direction




Physician's Profile

Full NameKetan A Kapadia
GenderMale
SpecialityUrology
Experience31 Years
Location5747 38th Ave N, St Petersburg, Florida
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:
  • Ketan A Kapadia attended and graduated from University Of California, San Francisco School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1043274152
  • Provider Enumeration Date: 04/14/2006
  • Last Update Date: 01/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446320758
  • Enrollment ID: I20080529000697

Medical Identifiers

Medical identifiers for Ketan A Kapadia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043274152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology ME79719 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside HospitalSaint petersburg, FLHospital
Palms Of Pasadena HospitalSaint petersburg, FLHospital
St Petersburg General HospitalSaint petersburg, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Urology Institute Llc2163653585114

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. Ketan A Kapadia allows following entities to bill medicare on his behalf.
Entity NameAdvanced Urology Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023447935
PECOS PAC ID: 2163653585
Enrollment ID: O20140328000990

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. Ketan 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
Ketan A Kapadia, MD
12109 County Road 103,
Oxford, FL 34484-2951

Ph: (352) 205-8981
Ketan A Kapadia, MD
5747 38th Ave N,
St Petersburg, FL 33710-1925

Ph: (727) 381-8667

Reviews and Comments


Urology Doctors in St Petersburg, FL

Dr. Rishi Ashok Modh, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 5747 38th Ave N, St Petersburg, FL 33710
Phone: 727-381-8667    
Dr. Nyarai Chinyani Mushonga, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 700 6th St S Fl 2, St Petersburg, FL 33701
Phone: 727-553-7461    Fax: 727-553-7462
Dr. Jaimin Girish Shah, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 620 10th St N, Suite 3d, St Petersburg, FL 33705
Phone: 727-824-7146    Fax: 727-824-7119
Sean P Heron, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 5747 38th Ave N, St Petersburg, FL 33710
Phone: 727-381-8667    Fax: 727-345-1951
Joseph Insoft, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 5747 38th Ave N, St Petersburg, FL 33710
Phone: 727-381-8667    Fax: 727-345-1951
Dr. Mark R. Gordon, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 620 10th Street N., St Petersburg, FL 33705
Phone: 727-824-7146    Fax: 727-824-7119

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.