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DR. RAHUL KAPIL MD
NPI 1336662196
Internal Medicine - Pulmonary Disease in New London, CT

Active since July 24, 2017PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
NEMG PULMONARY MEDICINE - NEW LONDON, 365 MONTAUK AVENUE, 2ND FLOOR, SUITE 2.006, NEW LONDON, CT 06320(860) 271-4309 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2023, Jul 21, 2022, Feb 2, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Rahul Kapil Md NPPES

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

DR. RAHUL KAPIL MD (NPI 1336662196) is an individual pulmonary disease provider in New London, Connecticut, licensed in Connecticut (72200) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and maintains a secondary practice location in Bridgeport.

NPPES Registry Identity

NPI1336662196
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RAHUL KAPILCredential: MD
Location AddressNEMG PULMONARY MEDICINE - NEW LONDON, 365 MONTAUK AVENUE, 2ND FLOOR, SUITE 2.006New London, CT 06320
Mailing Address267 Grant Street, Med Ed Podium 4Bridgeport, CT 06610-0120 · (203) 384-3883
Phone(860) 271-4309
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 24, 2017
Last NPPES UpdateFebruary 3, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2023
✔ NPI 1336662196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CT · 72200
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP04098 (RI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 64837 (CT)
NEMG PULMONARY MEDICINE - NEW LONDON, New London, CT 06320
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Secondary Practice Location 1

Location 1267 Grant Street, Med ED Podium 4Bridgeport, CT 06610-0120 · Phone (203) 384-3883

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. Rahul Kapil 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 ID5597020925
PECOS Enrollment IDI20230531002503
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.

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.
163 services54 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.
65 services53 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.
62 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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 Rahul Kapil's NPI number?

The NPI number for Rahul Kapil is 1336662196. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Rahul Kapil located?

Rahul Kapil practices at Nemg Pulmonary Medicine - New London 365 Montauk Avenue, 2nd Floor, Suite 2.006, New London, CT 06320. The listed phone number is (860) 271-4309.

What is Rahul Kapil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rahul Kapil enrolled in Medicare?

Yes. Rahul Kapil 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 Rahul Kapil affiliated with any hospitals?

According to CMS data, Rahul Kapil is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Rahul Kapil was last updated on February 3, 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.