DR. KAPIL RAJWANI MD
NPI 1326205634
Internal Medicine - Critical Care Medicine in New York, NY

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST # M-528, BOX 96, NEW YORK, NY 10065(212) 746-2898(212) 746-6692 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kapil Rajwani Md NPPES

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

DR. KAPIL RAJWANI MD (NPI 1326205634) is an individual critical care medicine provider in New York, New York, licensed in New York (242692) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Rutgers New Jersey Medical School (2005).

NPPES Registry Identity

NPI1326205634
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. KAPIL RAJWANICredential: MD
Location Address525 E 68TH ST # M-528, BOX 96New York, NY 10065-4870
Mailing Address525 E 68th St, Box 96New York, NY 10065-4870 · (646) 962-2333 · Fax (212) 746-1718
Fax(212) 746-6692
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2005
Enumeration DateMay 22, 2008
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1326205634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 242692
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 242692 (NY)
525 E 68TH ST # M-528, New York, NY 10065

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. Kapil Rajwani 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 ID648457812
PECOS Enrollment IDI20110616000062
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 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
322 services137 patients
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.
122 services74 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services39 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
35 services28 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
16 services15 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Hospitalist
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine (Infectious Disease)
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Specialist
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine (Critical Care Medicine)
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine (Cardiovascular Disease)
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065

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 Rajwani's NPI number?

The NPI number for Kapil Rajwani is 1326205634. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Kapil Rajwani located?

Kapil Rajwani practices at 525 E 68th St # M-528 Box 96, New York, NY 10065. The listed phone number is (212) 746-2898.

What is Kapil Rajwani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Kapil Rajwani enrolled in Medicare?

Yes. Kapil Rajwani 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 Kapil Rajwani affiliated with any hospitals?

According to CMS data, Kapil Rajwani is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kapil Rajwani was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.