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PRIYANKA KAPOOR
NPI 1164083275
Internal Medicine in Florence, AL

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
1701 VETERANS DR, FLORENCE, AL 35630(256) 629-1000 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priyanka Kapoor NPPES

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

PRIYANKA KAPOOR (NPI 1164083275) is an individual internal medicine provider in Florence, Alabama, licensed in Alabama (MD.44672) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164083275
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYANKA KAPOOR
Location Address1701 VETERANS DRFlorence, AL 35630-4928
Mailing Address1701 Veterans DrFlorence, AL 35630-4928 · (256) 629-1000
Phone(256) 629-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 28, 2019
Last NPPES UpdateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1164083275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.44672
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1701 VETERANS DR, Florence, AL 35630
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Priyanka Kapoor 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 ID8224446018
PECOS Enrollment IDI20220919002655
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
527 services205 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
127 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
58 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 20

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

CAMERON PATRICK HENDERSON
Nurse Practitioner (Acute Care)
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
RITIKA KUMAR
Internal Medicine
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950
USBAH KHALID
Internal Medicine
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
KARLEY ELIZABETH FLORES PA
Physician Assistant
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
DR. DEMILADE ADEAYO SOJI-AYOADE MD
Student in an Organized Health Care Education/Training Program
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950
SARAH MAHMOUD ATIA ELSAYED MD
Internal Medicine
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950
BRITTANY NICOLE STINNETT
Nurse Anesthetist, Certified Registered
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
SARMAD ZAIN MD
Student in an Organized Health Care Education/Training Program
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950

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 Priyanka Kapoor's NPI number?

The NPI number for Priyanka Kapoor is 1164083275. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Priyanka Kapoor located?

Priyanka Kapoor practices at 1701 Veterans Dr, Florence, AL 35630. The listed phone number is (256) 629-1000.

What is Priyanka Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priyanka Kapoor enrolled in Medicare?

Yes. Priyanka 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 Priyanka Kapoor accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Priyanka 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 Priyanka Kapoor was last updated on February 17, 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.