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Sheila Namboodiri Kapyur, MD

Hospitalist · Stanford

NPI 1982108049

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care Tri-Valley. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Kapyur’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A165822 · Current

Licensed to practise in California · since 2019 · expires 2027-10-31 · Virginia Commonwealth University, Medical College of Virginia.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$62,286

Medicare paid this office $62,286 for 212 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes145$37,783$100
Initial hospital care with moderate level of medical decision making at least 75 minutes72$10,310$143
Hospital discharge day management, more than 30 minutes89$8,912$97
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th72$3,202$25

Who their Medicare patients are

212 Original Medicare patients in 2024. Average age 75 · Under 65 15% · 85 and older 25% · Women 55% · Also on Medicaid 42% · Health risk score 3.17. Above the middle of the specialty; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 75% · Chronic kidney disease 59% · Coronary heart disease 54% · Heart failure 49% · Diabetes 47% · Depression 38% · Atrial fibrillation 35% · COPD 33% · Dementia 31% · Stroke 19% · Cancer 18%.

The office billed $378,412, Medicare allowed $79,232 and paid $62,286; for 690 services of 10 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024212690753.17$378,412$62,286
2023201781743.75$491,423$70,748
20222601,163743.76$758,038$109,746
2021134567723.70$355,142$53,499

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes148$46,321$99
Hospital discharge day management, more than 30 minutes102$9,878$95
Initial hospital care with moderate level of medical decision making at least 75 minutes57$8,068$139
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th66$3,146$25
Critical care, first 30-74 minutes11$2,121$177

2022: 9 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes169$52,008$86
Extended patient service without direct patient contact, first hour146$22,785$97
Initial hospital care with moderate level of medical decision making at least 75 minutes59$9,606$163
Hospital discharge day management, more than 30 minutes97$8,703$90
Initial hospital observation care per day, typically 70 minutes33$5,194$153
Follow-up observation care per day, typically 35 minutes23$2,642$85
Extended inpatient or observation hospital service, first hour24$2,456$77
Critical care, first 30-74 minutes11$2,252$173
Hospital observation care on day of discharge17$1,120$62

2021: 7 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes84$25,801$88
Extended patient service without direct patient contact, first hour68$11,563$96
Hospital discharge day management, more than 30 minutes43$4,038$92
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,649$166
Initial hospital observation care per day, typically 70 minutes21$3,262$155
Extended inpatient or observation hospital service, first hour12$1,572$79
Follow-up observation care per day, typically 35 minutes12$1,149$88

Medicaid work

$3,114 in 2024

Medicaid paid $3,114 for 68 billed services this clinician did in 2024, up to 17 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES68$3,114
Medicaid work by year
202468117$3,114
202349112$2,049
202230114$548
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES49$2,049

2022

Largest Medicaid services in 2022
PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR30$548

Drugs they prescribed that Part D paid

$11,975

Pharmacies billed $11,975 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 11% of their Part D prescriptions (15 of 140) in 2024. A higher opioid share than 9 in 10 peers; the typical hospitalist clinician is at 4%.

114 generic and fewer than 11 brand-name prescriptions · $11,975 in drug cost · 25 antibiotic prescriptions to 20 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Oxycodone11$44$4

Year by year

Part D prescribing by year
20241406511% (15)None$11,975
2023179728% (14)None$25,705
2022228865% (11)None$86,958
202115058NoneNone$13,812
202082240% (0)None$8,483
201920None0% (0)None$642

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Prednisone11$66$6

2022: 1 drug

Part D drugs prescribed in 2022
Pantoprazole15$223$15

2021: 1 drug

Part D drugs prescribed in 2021
Pantoprazole12$149$12

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
86.1 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1982108049
Licence
CA A165822California A165822: Current · expires 2027-10-31
Trained
Virginia Commonwealth University, School of Medicine, 2018
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X); Hospitalist (208M00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2018-03-22
NPI last updated
2024-10-18
NPI record certified
2024-10-18

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1250 16th St # C2304, Santa Monica, CA, 90404