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MUKESH KAPOOR M.D.
NPI 1336329192
Family Medicine - Sleep Medicine in Burlington, MA

Active since November 09, 2007PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805(781) 744-8630(781) 744-5581 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2019, Apr 29, 2019, Dec 12, 2015 (3 updates tracked since 2015).

About Mukesh Kapoor M.d. NPPES

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

MUKESH KAPOOR M.D. (NPI 1336329192) is an individual sleep medicine provider in Burlington, Massachusetts, licensed in Massachusetts (260932) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1336329192
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameMUKESH KAPOORCredential: M.D.
Location AddressLAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROADBurlington, MA 01805
Mailing AddressLahey Hospital And Medical Center, 41 Mall RoadBurlington, MA 01805-0001 · (781) 744-8630 · Fax (781) 744-5581
Phone(781) 744-8630
Fax(781) 744-5581
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 9, 2007
Last NPPES UpdateMay 20, 20193 updates tracked since enumeration
✔ NPI 1336329192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
Licenses✔ Licensed in MA · 260932✔ Licensed in NY · 280030
Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

LAHEY HOSPITAL AND MEDICAL CENTER, Burlington, MA 01805
Open in Google Maps ↗

Secondary Practice Location 1

Location 1919 Westfall Rd, Bldg. ARochester, NY 14618-2638 · Phone (585) 442-4141 · Fax (585) 442-6259

Other Identifiers 2

Medicaid04243023NY
OtherP01782371NY · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Mukesh 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 ID749358000
PECOS Enrollment IDI20190507002296
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 10

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.

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
119 services111 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
116 services115 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services71 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
72 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services58 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers245 claims245 services$33.76 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers139 claims139 services$75.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers125 claims293 services$29.17 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers87 claims463 services$16.54 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers60 claims295 services$12.74 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers161 claims161 services$46.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ALI EBRAHIMI M.D.
Pain Medicine (Pain Medicine)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8132
BONNIE ALICE EWALD M.D.
Internal Medicine (Gastroenterology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8494
NATHAN HAYWOOD HARTWELL PHARMD MPH BCOP
Pharmacist (Oncology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 BURLINGTON MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-2341
DR. AMBAREEN GUL JAN M.D.
Obstetrics & Gynecology (Gynecology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8560
MS. CHELSEA MCCRAINE R.N., F.N.P.-B.C.
Nurse Practitioner (Family)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8740
JULIA T SARAIDARIDIS M.D.
Colon & Rectal Surgery
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8990
KATERINA PAPA D.O.
Emergency Medicine
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8100
ROJER RANJIT NURSE PRACTITIONER
Nurse Practitioner (Family)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8400

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 Mukesh Kapoor's NPI number?

The NPI number for Mukesh Kapoor is 1336329192. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Mukesh Kapoor located?

Mukesh Kapoor practices at Lahey Hospital And Medical Center 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-8630.

What is Mukesh Kapoor's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Mukesh Kapoor enrolled in Medicare?

Yes. Mukesh 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 Mukesh Kapoor accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Mukesh 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 Mukesh Kapoor affiliated with any hospitals?

According to CMS data, Mukesh Kapoor is affiliated with Northeast Hospital Corporation, Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Mukesh Kapoor was last updated on May 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.