VINOD KAPOOR M.D.
NPI 1053457986
Specialist in Bayonne, NJ

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
631 BROADWAY, 3RD FLOOR, BAYONNE, NJ 07002(201) 823-2888(201) 823-2880 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vinod Kapoor M.d. NPPES

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

VINOD KAPOOR M.D. (NPI 1053457986) is an individual specialist in Bayonne, New Jersey, licensed in New Jersey (MA65026) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1053457986
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameVINOD KAPOORCredential: M.D.
Location Address631 BROADWAY, 3RD FLOORBayonne, NJ 07002-3846
Mailing AddressPo Box 4302Warren, NJ 07059-0302 · (201) 823-2888 · Fax (201) 823-2880
Fax(201) 823-2880
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053457986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · MA65026
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

631 BROADWAY, Bayonne, NJ 07002

Other Identifiers 3

Medicaid0085677NJ
Medicare UPING25171NJ
Medicare ID-Type UnspecifiedKG95443NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vinod Kapoor M.d. 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 ID7214961879
PECOS Enrollment IDI20050922000944
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.

Areas of Expertise CMS Part B claims 16

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
391 services195 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
147 services41 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
133 services66 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
123 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
116 services116 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310025
Location29 East 29th StBayonne, NJ 07002 · Hudson County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
35%1,440 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%651 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%187 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
55%265 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%651 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 100% · 380 patients
98%380 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

Specialist
631 BROADWAY
BAYONNE, NJ 07002
Family Medicine
631 BROADWAY, FIRST FLOOR
BAYONNE, NJ 07002
Internal Medicine (Infectious Disease)
631 BROADWAY
BAYONNE, NJ 07002
Internal Medicine (Infectious Disease)
631 BROADWAY
BAYONNE, NJ 07002
Psychiatry & Neurology (Neurology)
631 BROADWAY, THIRD FLOOR
BAYONNE, NJ 07002
Specialist
631 BROADWAY, 3RD FLOOR
BAYONNE, NJ 07002
Physical Therapist
631 BROADWAY
BAYONNE, NJ 07002
Internal Medicine (Hematology & Oncology)
631 BROADWAY
BAYONNE, NJ 07002

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 Vinod Kapoor's NPI number?

The NPI number for Vinod Kapoor is 1053457986. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Vinod Kapoor located?

Vinod Kapoor practices at 631 Broadway 3rd Floor, Bayonne, NJ 07002. The listed phone number is (201) 823-2888.

What is Vinod Kapoor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Vinod Kapoor enrolled in Medicare?

Yes. Vinod 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.

What insurance does Vinod Kapoor accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Vinod 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.

Is Vinod Kapoor affiliated with any hospitals?

According to CMS data, Vinod Kapoor is affiliated with St Joseph's University Medical Center Inc and Carepoint Health - Bayonne Medical Center.

When was this NPI record last updated?

The NPPES record for Vinod Kapoor was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.