DR. TOLGA KAPUSUZ M.D.
NPI 1316919004
Anesthesiology in South Plainfield, NJ
About Dr. Tolga Kapusuz M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TOLGA KAPUSUZ M.D. (NPI 1316919004) is an individual anesthesiology provider in South Plainfield, New Jersey, licensed in Florida (ME123853) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains a secondary practice location in Staten Island.
NPPES Registry Identity
Specialties & Licenses 2
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. Tolga Kapusuz 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.
Medicare Billing Reassignments
6Medicare enrollment records show Tolga Kapusuz reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Plainfield, NJ 07080
- Reassigned Medicare billing, New Jersey enrollment
- 5 clinicians in this Medicare group
East Brunswick, NJ 08816
- Reassigned Medicare billing, New Jersey enrollment
- 121 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 80 clinicians in this Medicare group
New York, NY 10011
- Reassigned Medicare billing, New York enrollment
- 309 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Northern Valley Anesthesiology PA
- 138 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 4
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.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
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 Tolga Kapusuz's NPI number?
The NPI number for Tolga Kapusuz is 1316919004. It was assigned to this individual provider in the NPPES registry on February 6, 2006.
Where is Tolga Kapusuz located?
Tolga Kapusuz practices at 285 Durham Ave Ste 1A, South Plainfield, NJ 07080. The listed phone number is (732) 338-0228.
What is Tolga Kapusuz's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Tolga Kapusuz enrolled in Medicare?
Yes. Tolga Kapusuz 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 Tolga Kapusuz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tolga Kapusuz reassigns Medicare benefits to 6 organizations: Bct Medical Associates.LLC (South Plainfield, NJ), Bay Anesthesia LLC (East Brunswick, NJ), Anesthesiology Associates Of Boro Park, LLP (Brooklyn, NY), Icahn School Of Medicine At Mount Sinai (New York, NY), Montefiore Medical Center (New York, NY) and 1 more organization, listed in the Medicare section above. 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 Tolga Kapusuz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tolga Kapusuz accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Tolga Kapusuz 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 Tolga Kapusuz affiliated with any hospitals?
According to CMS data, Tolga Kapusuz is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Tolga Kapusuz was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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. Tolga Kapusuz, M.D. · NPI 1316919004
Anesthesiology physician in South Plainfield, New Jersey. Individual provider, active in the CMS NPPES registry since February 6, 2006.
## Identity
- **NPI:** 1316919004 (Entity type: Individual)
- **Enumerated:** February 6, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** ME123853 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 285 DURHAM AVE STE 1A, South Plainfield, NJ 07080-2555
- **Phone:** (732) 338-0228 · **Fax:** (908) 941-5963
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Bct Medical Associates.LLC (NPI 1184036717, South Plainfield, NJ); Bay Anesthesia LLC (NPI 1063151546, East Brunswick, NJ); Anesthesiology Associates Of Boro Park, LLP (NPI 1518912302, Brooklyn, NY); Icahn School Of Medicine At Mount Sinai (NPI 1568841930, New York, NY); Montefiore Medical Center (NPI 1760288278, New York, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** September 11, 2026
- **Other identifiers:** Medicaid 02374252 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1316919004) · Data from the CMS NPPES public registry.