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DR. PRIYANKA KAPOOR M.D.
NPI 1306158621
Hospitalist in Tacoma, WA

Active since July 02, 2010PECOS EnrolledAccepts Medicare Assignment
1717 S J ST, TACOMA, WA 98405(253) 426-6341(253) 426-6344 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Priyanka Kapoor M.d. NPPES

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

DR. PRIYANKA KAPOOR M.D. (NPI 1306158621) is an individual hospitalist provider in Tacoma, Washington, licensed in Washington (MD60724702) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306158621
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRIYANKA KAPOORCredential: M.D.
Location Address1717 S J STTacoma, WA 98405-4933
Mailing Address1717 S J StTacoma, WA 98405-4933 · (253) 426-6341 · Fax (253) 426-6344
Phone(253) 426-6341
Fax(253) 426-6344
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 2, 2010
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1306158621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WA · MD60724702
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60724702 (WA), TRN14649 (FL)
1717 S J ST, Tacoma, WA 98405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Priyanka 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 ID1254561780
PECOS Enrollment IDI20170424001301
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
237 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
153 services97 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
72 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services63 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%124 patients4/55-star benchmark: 100%
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.

ELIZABETH CULP
Registered Nurse
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6163
GLAUCIA DE CASTRO MOREIRA M.D.
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6625
GRANT ALEXANDER YELLIOTT II PA C
Physician Assistant
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6660
MS. JESSICA WAI-YING TAM MD
Internal Medicine
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6341
KARA SPRINGER CRANE PHARMD
Pharmacist
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 432-8216
BROOKE ELIZABETH CLOVER-OWENS RN
Registered Nurse (Obstetric, Inpatient)
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-4101
NATHANIEL ERIC SIEV MD
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-4101
PRISCILLA RUTH JAMES AGACNP-BC
Nurse Practitioner (Gerontology)
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6341

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 Priyanka Kapoor's NPI number?

The NPI number for Priyanka Kapoor is 1306158621. It was assigned to this individual provider in the NPPES registry on July 2, 2010.

Where is Priyanka Kapoor located?

Priyanka Kapoor practices at 1717 S J St, Tacoma, WA 98405. The listed phone number is (253) 426-6341.

What is Priyanka Kapoor's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Priyanka Kapoor enrolled in Medicare?

Yes. Priyanka 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.

What insurance does Priyanka Kapoor accept?

Health plans from Providence Health Plan list Priyanka 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 Priyanka Kapoor affiliated with any hospitals?

According to CMS data, Priyanka Kapoor is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Priyanka Kapoor was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.