DR. SIDDHARTH KAPOOR MD
NPI 1275635849
Psychiatry & Neurology - Neurology in Edison, NJ

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
65 JAMES ST FL 2, EDISON, NJ 08820(732) 321-7010 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2024, May 2, 2022, Mar 5, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Siddharth Kapoor Md NPPES

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

DR. SIDDHARTH KAPOOR MD (NPI 1275635849) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (25MA12127200) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1275635849
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SIDDHARTH KAPOORCredential: MD
Location Address65 JAMES ST FL 2Edison, NJ 08820-3947
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 2, 2006
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1275635849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in NJ · 25MA12127200 Licensed in IA · 35478 Licensed in KY · 44134
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
65 JAMES ST FL 2, Edison, NJ 08820

Secondary Practice Location 1

Location 1740 S Limestone, J 401Lexington, KY 40536-0001 · Phone (859) 323-5661 · Fax (859) 257-4999

Other Identifiers 1

Medicaid7100154770KY

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. Siddharth 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 ID3274507587
PECOS Enrollment IDI20241218001332
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

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.

Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
65 JAMES ST FL 2
EDISON, NJ 08820
Neurological Surgery
65 JAMES ST FL 2
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST FL 2
EDISON, NJ 08820
Neurological Surgery
65 JAMES ST FL 2
EDISON, NJ 08820

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 Siddharth Kapoor's NPI number?

The NPI number for Siddharth Kapoor is 1275635849. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Siddharth Kapoor located?

Siddharth Kapoor practices at 65 James St Fl 2, Edison, NJ 08820. The listed phone number is (732) 321-7010.

What is Siddharth Kapoor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Siddharth Kapoor enrolled in Medicare?

Yes. Siddharth 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 Siddharth Kapoor affiliated with any hospitals?

According to CMS data, Siddharth Kapoor is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Siddharth Kapoor was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.