DR. SUDHIR KAPOOR MBBS, MD, ABIM.
NPI 1013073824
Internal Medicine - Critical Care Medicine in Louisiana, MO

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
2305 GEORGIA ST, LOUISIANA, MO 63353(802) 310-0937 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2023, Feb 7, 2022 (2 updates tracked since 2022).

About Dr. Sudhir Kapoor Mbbs, Md, Abim. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUDHIR KAPOOR MBBS, MD, ABIM. (NPI 1013073824) is an individual critical care medicine provider in Louisiana, Missouri, licensed in California (A97433) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1013073824
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SUDHIR KAPOORCredential: MBBS, MD, ABIM.
Location Address2305 GEORGIA STLouisiana, MO 63353-2559
Mailing Address2305 Georgia StLouisiana, MO 63353-2559 · (802) 310-0937
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1013073824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in CA · A97433✔ Licensed in FL · ME96934
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
2305 GEORGIA ST, Louisiana, MO 63353

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sudhir Kapoor Mbbs, Md, Abim. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234233198
PECOS Enrollment IDI20170911001381
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Sudhir Kapoor reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1 SAINT ANTHONYS WAY
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 42 clinicians in this Medicare group
Specialist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 287 clinicians in this Medicare group
Internal Medicine
47647 CALEO BAY DR, STE 101
La Quinta, CA 92253
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
Family Medicine
8008 HAVEN AVE STE 100
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 279 clinicians in this Medicare group
Pulmonary Disease
1325 N ROSE DR, SUITE 208
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Chest And Critical Care Consultants A Medical Group
  • 96 clinicians in this Medicare group
Family Medicine
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
1,535 mi
Allergy & Immunology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 525 clinicians in this Medicare group
Emergency Medicine
1111 W LA PALMA AVE, EMERGENCY DEPT
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
Emergency Medicine
9080 COLIMA RD
Whittier, CA 90605
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services62 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
16 services15 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63353 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2305 GEORGIA ST
LOUISIANA, MO 63353
Internal Medicine (Cardiovascular Disease)
2305 GEORGIA ST
LOUISIANA, MO 63353
Social Worker (Clinical)
2305 GEORGIA ST
LOUISIANA, MO 63353
General Acute Care Hospital (Critical Access)
2305 GEORGIA ST
LOUISIANA, MO 63353
Emergency Medicine
2305 GEORGIA ST
LOUISIANA, MO 63353
Emergency Medicine
2305 GEORGIA ST
LOUISIANA, MO 63353
Clinic/Center (Rural Health)
2305 GEORGIA ST
LOUISIANA, MO 63353
General Acute Care Hospital (Critical Access)
2305 GEORGIA ST
LOUISIANA, MO 63353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudhir Kapoor's NPI number?

The NPI number for Sudhir Kapoor is 1013073824. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Sudhir Kapoor located?

Sudhir Kapoor practices at 2305 Georgia St, Louisiana, MO 63353. The listed phone number is (802) 310-0937.

What is Sudhir Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sudhir Kapoor enrolled in Medicare?

Yes. Sudhir Kapoor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sudhir Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudhir Kapoor reassigns Medicare benefits to 9 organizations: Alton-Griffin Emergency Group PC (Alton, IL), Intensive Care Consortium Inc (Aventura, FL), First Choice Physician Partners (La Quinta, CA), Prohealth Partners A Medical Group (Rancho Cucamonga, CA), Chest And Critical Care Consultants (Placentia, CA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sudhir Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudhir Kapoor accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield and Oscar Health Maintenance Organization of Florida list Sudhir Kapoor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sudhir Kapoor was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.