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AJOY KAPOOR M.D.
NPI 1265414395
Internal Medicine - Cardiovascular Disease in New Haven, CT

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
46 PRINCE ST, NEW HAVEN, CT 06519(203) 867-5300(203) 315-5320 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ajoy Kapoor M.d. NPPES

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

AJOY KAPOOR M.D. (NPI 1265414395) is an individual cardiovascular disease provider in New Haven, Connecticut, licensed in Connecticut (038116) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1996).

NPPES Registry Identity

NPI1265414395
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameAJOY KAPOORCredential: M.D.
Location Address46 PRINCE STNew Haven, CT 06519-1600
Mailing Address46 Prince StNew Haven, CT 06519-1600 · (203) 867-5300 · Fax (203) 315-5320
Phone(203) 867-5300
Fax(203) 315-5320
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1996
Enumeration DateNovember 15, 2005
Last NPPES UpdateOctober 15, 2007
✔ NPI 1265414395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 038116
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
46 PRINCE ST, New Haven, CT 06519
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH91212

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

Ajoy 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 ID1355336587
PECOS Enrollment IDI20040417000250
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 14

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.
454 services281 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.
377 services354 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
308 services242 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.
189 services186 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
62 services62 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
60 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
95%473 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,443 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%1,012 patients4/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
94%427 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%714 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%924 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
30%71 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
90%1,344 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%924 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%924 patients2/55-star benchmark: 79%
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 20

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

KRISTIN NOWAK
Advanced Practice Midwife
46 PRINCE ST, #207
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 787-2264
DR. WAYNE IAN LARRISON M.D.
Ophthalmology
46 PRINCE ST, SUITE 402A
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 787-6161
JOAN M MESSNER CNM
Advanced Practice Midwife
46 PRINCE ST, #207
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 787-2264
DR. VINCENT QUARATO D.C.
Chiropractor
46 PRINCE ST, SUITE 201
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 562-0656
DIANE LEVINE PT
Physical Therapist
46 PRINCE ST, SUITE 402B
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 752-7878
SHIRLEY MUDZINSKI PT
Physical Therapist
46 PRINCE ST, SUITE 402B
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 752-7878
ROBERT F MORRISON M.D.
Internal Medicine (Cardiovascular Disease)
46 PRINCE ST
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 867-5300
AMY FALCIGNO
Occupational Therapist
46 PRINCE ST
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 750-7878

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 Ajoy Kapoor's NPI number?

The NPI number for Ajoy Kapoor is 1265414395. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Ajoy Kapoor located?

Ajoy Kapoor practices at 46 Prince St, New Haven, CT 06519. The listed phone number is (203) 867-5300.

What is Ajoy Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ajoy Kapoor enrolled in Medicare?

Yes. Ajoy 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.

When was this NPI record last updated?

The NPPES record for Ajoy Kapoor was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.