DR. SIDDHARTH KAPOOR MD
NPI 1275635849
Psychiatry & Neurology - Neurology in Edison, NJ
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Siddharth Kapoor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 75 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.
Jfk Medical Center
Acute Care Hospitals · Edison, NJPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Siddharth Kapoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siddharth Kapoor reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Ephraim Mcdowell Regional Medical Center, Incorporated (Danville, KY). 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 Siddharth Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Siddharth Kapoor accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Siddharth 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 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 22 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.
# Dr. Siddharth Kapoor, MD · NPI 1275635849
Neurology physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since September 2, 2006.
## Identity
- **NPI:** 1275635849 (Entity type: Individual)
- **Enumerated:** September 2, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 25MA12127200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 JAMES ST FL 2, Edison, NJ 08820-3947
- **Phone:** (732) 321-7010
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY); Ephraim Mcdowell Regional Medical Center, Incorporated (NPI 1336580554, Danville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** December 11, 2024
- **Other identifiers:** Medicaid 7100154770 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1275635849) · Data from the CMS NPPES public registry.