DR. SUMIT KAPOOR MD
NPI 1376777433
Internal Medicine - Gastroenterology in Columbus, OH

Q: What is Sumit Kapoor's NPI number?

The NPI number for Sumit Kapoor is 1376777433. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Q: What is Sumit Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Kapoor was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment

87.77/100

CMS Quality Rating

3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202(614) 754-5500(614) 754-5501 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, Nov 22, 2023, Dec 14, 2022 and 3 more (6 updates tracked since 2019).

On this page

About Dr. Sumit Kapoor Md NPPES

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

DR. SUMIT KAPOOR MD (NPI 1376777433) is an individual gastroenterology provider in Columbus, Ohio, licensed in Ohio (35.126300) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1376777433

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SUMIT KAPOORCredential: MD

Location Address3400 OLENTANGY RIVER RDColumbus, OH 43202-1523

Mailing Address3400 Olentangy River RdColumbus, OH 43202-1523 · (614) 754-5500

Phone(614) 754-5500

Fax(614) 754-5501

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 5, 2009

Last NPPES UpdateSeptember 9, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1376777433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 35.126300

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3400 OLENTANGY RIVER RD, Columbus, OH 43202

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Secondary Practice Location 1

Location 13595 Olentangy River RdColumbus, OH 43214-3440 · Phone (614) 566-5456 · Fax (614) 566-6902

Other Identifiers 1

Medicaid0103154OH

Accepted Insurance

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

Dr. Sumit Kapoor 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 ID6608197389

PECOS Enrollment IDI20150605002351

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 9

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

148 services146 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

135 services131 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

90 services87 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.

84 services66 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360012

Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County

Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360152

Location5100 West Broad StreetColumbus, OH 43228 · Franklin County

Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360348

Location7500 Hospital AvenueDublin, OH 43016 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43202 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

87.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.17

Promoting Interoperability

100

Improvement Activities

Cost

71.09

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. RUCHI BHATIA MD

Internal Medicine (Transplant Hepatology)

3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202

Franklin County (614) 754-5500

CENTRAL OHIO ENDOSCOPY CENTER, LLC

Clinic/Center (Endoscopy)

3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202

Franklin County (614) 754-5500

MR. ANTHONY J MICHAELS MD

Internal Medicine (Transplant Hepatology)

3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202

Franklin County (614) 754-5500

DR. LEENA TARIGOPULA MD

Internal Medicine (Gastroenterology)

3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202

Franklin County (614) 754-5500

ADAM JAMES HANJE M.D.

Internal Medicine (Gastroenterology)

3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202

Franklin County (614) 754-5500

SARA JO DORAN CNP

Nurse Practitioner (Family)

3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202

Franklin County (614) 754-5500

NICOLE SNYDER NP

Nurse Practitioner (Family)

3400 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43202

Franklin County (614) 262-7426

MICHELLE CHRISTINE HAMILTON

Nurse Practitioner (Acute Care)

3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202

Franklin County (614) 754-5500

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 Sumit Kapoor's NPI number?

The NPI number for Sumit Kapoor is 1376777433. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Sumit Kapoor located?

Sumit Kapoor practices at 3400 Olentangy River Rd, Columbus, OH 43202. The listed phone number is (614) 754-5500.

What is Sumit Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sumit Kapoor enrolled in Medicare?

Yes. Sumit 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 Sumit Kapoor accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Sumit 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 Sumit Kapoor affiliated with any hospitals?

According to CMS data, Sumit Kapoor is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's, Mount Carmel East & West, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Sumit Kapoor was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.