TARUN KAPOOR M.D.
NPI 1255866802
Internal Medicine - Critical Care Medicine in Atlanta, GA

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2023, Dec 9, 2021, Jun 15, 2020 and 1 more (4 updates tracked since 2017).

About Tarun Kapoor M.d. NPPES

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

TARUN KAPOOR M.D. (NPI 1255866802) is an individual critical care medicine provider in Atlanta, Georgia, licensed in Georgia (96069) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255866802
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTARUN KAPOORCredential: M.D.
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1059
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 20, 2017
Last NPPES UpdateMarch 27, 20244 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1255866802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in GA · 96069✔ Licensed in AL · 43340
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 43340 (AL)
1364 CLIFTON RD NE, Atlanta, GA 30322

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

Tarun 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 ID3577954585
PECOS Enrollment IDI20230830002298
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 Reassignments

3

Medicare enrollment records show Tarun Kapoor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Hospitalist
3690 GRANDVIEW PKWY
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 215 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$15.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$78.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322

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 Tarun Kapoor's NPI number?

The NPI number for Tarun Kapoor is 1255866802. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Tarun Kapoor located?

Tarun Kapoor practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-2000.

What is Tarun Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Tarun Kapoor enrolled in Medicare?

Yes. Tarun 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 Tarun Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarun Kapoor reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Oak Mountain Group Services, LLC (Birmingham, AL). 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 Tarun Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tarun Kapoor accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Tarun 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 Tarun Kapoor affiliated with any hospitals?

According to CMS data, Tarun Kapoor is affiliated with Emory University Hospital, Emory University Hospital Midtown and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tarun Kapoor was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.