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PRIYA KAPOOR LCSW
NPI 1164910485
Social Worker - Clinical in Evanston, IL

Active since April 23, 2018PECOS Enrolled
93.08/100
CMS Quality Rating
1740 RIDGE AVE STE 201, EVANSTON, IL 60201(828) 242-6985 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2026, Apr 9, 2021, Apr 23, 2018 (3 updates tracked since 2018).

About Priya Kapoor Lcsw NPPES

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

PRIYA KAPOOR LCSW (NPI 1164910485) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (149.013765) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164910485
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePRIYA KAPOORCredential: LCSW
Location Address1740 RIDGE AVE STE 201Evanston, IL 60201-5909
Mailing Address9669 Kenton Ave Ste 204Skokie, IL 60076-1227 · (847) 425-6440 · Fax (847) 933-3535
Phone(828) 242-6985
Sole ProprietorNo
Enumeration DateApril 23, 2018
Last NPPES UpdateApril 18, 20263 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
✔ NPI 1164910485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.013765
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1740 RIDGE AVE STE 201, Evanston, IL 60201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya Kapoor Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Priya Kapoor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
1.0 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

BRITTNEY R. LIND, PSYD, PLLC
Psychologist (Clinical)
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (224) 662-1724
ALEXIS TROCKI
Counselor
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (847) 475-7003
TOPAZ COUNSELING PLLC
Counselor (Mental Health)
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (312) 714-5401
CATHERINE MATTESON LCSW, CADC
Social Worker (Clinical)
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (847) 475-7003
TERESA BENNETT PASQUALE MSW, LCSW
Social Worker (Clinical)
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (847) 475-7003
BRITTNEY R LIND PSYD
Psychologist (Clinical)
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (224) 662-1724
GISELLE MARIE RISHCHYNSKI GARCIA LCSW
Social Worker (Clinical)
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (847) 475-7003
DINAH HUDSON LPC, NCC
Counselor (Mental Health)
1740 RIDGE AVE STE 201
EVANSTON, IL 60201
Cook County (847) 475-7003

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 Priya Kapoor's NPI number?

The NPI number for Priya Kapoor is 1164910485. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Priya Kapoor located?

Priya Kapoor practices at 1740 Ridge Ave Ste 201, Evanston, IL 60201. The listed phone number is (828) 242-6985.

What is Priya Kapoor's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Priya Kapoor enrolled in Medicare?

Yes. Priya Kapoor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Priya Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Kapoor reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Priya Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Kapoor accept?

Health plans from Oscar Health and UnitedHealthcare list Priya 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 Priya Kapoor was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.