NIDHI KAPOOR MD
NPI 1255771465
Psychiatry & Neurology - Neurology in Jacksonville, FL
About Nidhi Kapoor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIDHI KAPOOR MD (NPI 1255771465) is an individual neurology provider in Jacksonville, Florida, licensed in Florida (ME157538) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and maintains a secondary practice location in Jacksonville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Nidhi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nidhi Kapoor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville Beach, FL 32250
- Reassigned Medicare billing, Florida enrollment
- 62 clinicians in this Medicare group
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Bergan Mercy
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Nidhi Kapoor's NPI number?
The NPI number for Nidhi Kapoor is 1255771465. It was assigned to this individual provider in the NPPES registry on July 2, 2013.
Where is Nidhi Kapoor located?
Nidhi Kapoor practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Nidhi Kapoor's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Nidhi Kapoor enrolled in Medicare?
Yes. Nidhi 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 Nidhi Kapoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Kapoor reassigns Medicare benefits to 2 organizations: Baptist Neurology Inc (Jacksonville Beach, FL) and Alegent Creighton Clinic (Omaha, NE). 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 Nidhi Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nidhi Kapoor accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health Advantage and Octave and 1 other insurer list Nidhi 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 Nidhi Kapoor affiliated with any hospitals?
According to CMS data, Nidhi Kapoor is affiliated with Chi Health Bergan Mercy.
When was this NPI record last updated?
The NPPES record for Nidhi Kapoor was last updated on July 6, 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.
# Nidhi Kapoor, MD · NPI 1255771465
Neurology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 2, 2013.
## Identity
- **NPI:** 1255771465 (Entity type: Individual)
- **Enumerated:** July 2, 2013
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** ME157538 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baptist Neurology Inc (NPI 1104058874, Jacksonville Beach, FL); Alegent Creighton Clinic (NPI 1548287907, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 6, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1255771465) · Data from the CMS NPPES public registry.