Ketan A. Kapadia, M.D.
Urology Physician · St Petersburg, FL
Ketan A. Kapadia, M.D. is a urology physician with a practice address in St Petersburg, Florida, and NPI 1043274152, issued on Apr 14, 2006. Check the license (Florida ME79719, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Ketan A. Kapadia
- Credential
- M.D.
- Primary taxonomy
- Urology Physician 208800000X
- License number
- ME79719 FL
Self-reported in NPPES; status is on the state search - Practice location
- 5747 38TH Ave N, St Petersburg, FL 33710
- Phone
- (727) 381-8667
- Enumerated
- Apr 14, 2006
- Record last updated
- Jan 20, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (727) 345-1951
- Medicare enrollment
- Enrolled (PECOS I20080529000697); accepts Medicare assignment
- Medical or professional school
- University Of California, San Francisco School Of Medicine, 1993
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 5747 38TH Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Damin Chen, PA-CPhysician Assistant1801647201
- Sean Heron, M.D.Urology Physician1164486262
- Joseph Insoft, M.D.Urology Physician1235368077
- Rishi Modh, M.D.Urology Physician1033401997
- Lama Yacoub, APRNNurse Practitioner1194401141
- Shaw Zhou, M.D.Urology Physician1740244565
Verify Ketan A. Kapadia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME79719Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.0 times the Medicare Part D claims of the average urology physician in 2024
4,084 Medicare Part D claims for 838 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. 58 claims were for opioids.
Most prescribed
- Tamsulosin Hcl799 claims
- Finasteride588 claims
- Doxycycline Monohydrate222 claims
- Dutasteride211 claims
- Cephalexin202 claims
- Alfuzosin Hcl Er187 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,176.62
96 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Advanced Urology Institute LLCSouth Pasadena, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Urology Physician providers in Florida
There are 1,020 urology physician records in Florida.
Other urology physician records in Florida
- Ahmad Abdel-AzizMiami, FL1710723424
- Mourad Abouelleil, M.D.West Palm Beach, FL1225357973
- Ran Abrahamy, MDTamarac, FL1851353940
- Mark Abramson, M.D.Jacksonville, FL1629030044
- Salim Afridi, MDPlant City, FL1417938275
- Ardalanejaz Ahmad, M.D.Gainesville, FL1649413873
- Bade Akintan, MDWinter Haven, FL1831202167
- Mark Alagna, MDHudson, FL1023065471
- Osama Alalao, MDStuart, FL1619464781
- Muhammad Alam, MDJacksonville, FL1184186009
Common questions
What is Ketan A. Kapadia, M.D.'s NPI number?
Ketan A. Kapadia, M.D.'s National Provider Identifier (NPI) is 1043274152, issued on Apr 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ketan A. Kapadia, M.D. located?
The NPPES record lists a practice address at 5747 38TH Ave N, St Petersburg, FL, 33710. Phone: (727) 381-8667. Providers update this record themselves, so call before visiting.
How can I verify Ketan A. Kapadia, M.D.'s license?
NPPES lists Florida license number ME79719, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ketan A. Kapadia, M.D. prescribe under Medicare Part D?
In 2024, Ketan A. Kapadia, M.D. had 4,084 Medicare Part D claims for 838 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.
What is Ketan A. Kapadia, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.