DR. KAPIL KWATRA M.D
NPI 1326016320
Internal Medicine in Warren, OH
About Dr. Kapil Kwatra M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAPIL KWATRA M.D (NPI 1326016320) is an individual internal medicine provider in Warren, Ohio, licensed in Ohio (35068993) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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. Kapil Kwatra 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 Reassignment
Medicare enrollment records show Kapil Kwatra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warren, OH 44483
- Reassigned Medicare billing, Ohio enrollment
- 2 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 46
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Youngstown Hospital
Acute Care Hospitals · Youngstown, OHMh St Joseph Warren Hospital
Acute Care Hospitals · Warren, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHHmhp St Elizabeth Boardman Health Center
Acute Care Hospitals · Boardman, OHSurgical Hospital At Southwoods
Acute Care Hospitals · Youngstown, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44484 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 26
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Kapil Kwatra's NPI number?
The NPI number for Kapil Kwatra is 1326016320. It was assigned to this individual provider in the NPPES registry on March 8, 2006.
Where is Kapil Kwatra located?
Kapil Kwatra practices at 9371, East Market Street, Suite #1a, Warren, OH 44484. The listed phone number is (330) 609-5277.
What is Kapil Kwatra's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kapil Kwatra enrolled in Medicare?
Yes. Kapil Kwatra 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 organization bills Medicare for Kapil Kwatra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kapil Kwatra reassigns Medicare benefits to Medical Associates Of Warren, Inc. (Warren, OH). The 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 Kapil Kwatra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kapil Kwatra accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Kapil Kwatra 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 Kapil Kwatra affiliated with any hospitals?
According to CMS data, Kapil Kwatra is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Cleveland Clinic, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.
When was this NPI record last updated?
The NPPES record for Kapil Kwatra was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.