Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GAURAV KAPOOR MD
NPI 1245225192
Internal Medicine - Interventional Cardiology in Coal City, IL

Active since September 16, 2005PECOS Enrolled
5775 E STATE ROUTE 113, COAL CITY, IL 60416(815) 634-0100(815) 634-2900 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Dec 30, 2025, Nov 7, 2024 and 5 more (8 updates tracked since 2018).

About Dr. Gaurav Kapoor Md NPPES

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

DR. GAURAV KAPOOR MD (NPI 1245225192) is an individual interventional cardiology provider in Coal City, Illinois, licensed in Illinois (036118921) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245225192
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. GAURAV KAPOORCredential: MD
Location Address5775 E STATE ROUTE 113Coal City, IL 60416-7111
Mailing Address1710 W Court StKankakee, IL 60901-3160 · (815) 936-3200
Fax(815) 634-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJuly 21, 20268 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1245225192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in IL · 036118921 Licensed in IN · 01094047A
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036118921 (IL), 01094047A (IN)
5775 E STATE ROUTE 113, Coal City, IL 60416

Secondary Practice Locations 2

Location 1500 N Wall StKankakee, IL 60901-2942 · Phone (844) 404-4787 · Fax (815) 936-3243
Location 23500 Franciscan Way STE 400Michigan City, IN 46360-0033 · Phone (219) 878-8200 · Fax (219) 878-8331

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

Dr. Gaurav Kapoor Md 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 ID6800869322
PECOS Enrollment IDI20071005000561, I20260102002415
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 34

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 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.
1,480 services755 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
510 services379 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
485 services457 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
436 services162 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
362 services336 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
304 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Iroquois Memorial Hospital

Critical Access Hospitals · Watseka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141353
Location200 Fairman StreetWatseka, IL 60970 · Iroquois County
Emergency services

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60416 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%451 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
25%686 patients2/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%349 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 5

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

Pediatrics
5775 E STATE ROUTE 113
COAL CITY, IL 60416
Nurse Practitioner (Family)
5775 E STATE ROUTE 113
COAL CITY, IL 60416
Nurse Practitioner (Family)
5775 E STATE ROUTE 113
COAL CITY, IL 60416
Family Medicine
5775 E STATE ROUTE 113
COAL CITY, IL 60416
Family Medicine
5775 E STATE ROUTE 113
COAL CITY, IL 60416

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 Gaurav Kapoor's NPI number?

The NPI number for Gaurav Kapoor is 1245225192. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Gaurav Kapoor located?

Gaurav Kapoor practices at 5775 E State Route 113, Coal City, IL 60416. The listed phone number is (815) 634-0100.

What is Gaurav Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Gaurav Kapoor enrolled in Medicare?

Yes. Gaurav 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.

Is Gaurav Kapoor affiliated with any hospitals?

According to CMS data, Gaurav Kapoor is affiliated with Presence St Marys Hospital, Riverside Medical Center, Iroquois Memorial Hospital and Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for Gaurav Kapoor was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.