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DR. ANIL KAPOOR M.D.
NPI 1427070853
Psychiatry & Neurology - Neurology in Elmhurst, NY

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
9405 60TH AVE, ELMHURST, NY 11373(718) 393-3965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Anil Kapoor M.d. NPPES

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

DR. ANIL KAPOOR M.D. (NPI 1427070853) is an individual neurology provider in Elmhurst, New York, licensed in New York (208863) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Flushing Hospital Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1427070853
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ANIL KAPOORCredential: M.D.
Location Address9405 60TH AVEElmhurst, NY 11373-5069
Mailing Address9405 60th AveElmhurst, NY 11373-5069 · (718) 393-3965
Phone(718) 393-3965
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427070853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 208863
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
9405 60TH AVE, Elmhurst, NY 11373
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Other Identifiers 3

Medicaid01854228NY
Medicare ID-Type Unspecified02804GNY
Medicare UPINA98135NY

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. Anil 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 ID9436111044
PECOS Enrollment IDI20120210000620
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 11

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.

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.
318 services137 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
227 services165 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
205 services110 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.
142 services137 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.
90 services90 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.
51 services47 patients

Hospital Affiliations CMS Care Compare

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

Flushing Hospital Medical Center

Acute Care Hospitals · Flushing, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330193
Location45th Avenue And Parsons BoulevardFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.52
Promoting Interoperability78
Improvement Activities40
Cost44.46

Other Providers at the Same Location NPPES

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

NEW YORK NEUROLOGY SERVICES PC
Psychiatry & Neurology (Neurology)
9405 60TH AVE
ELMHURST, NY 11373
Queens County (718) 393-3965

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 Anil Kapoor's NPI number?

The NPI number for Anil Kapoor is 1427070853. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Anil Kapoor located?

Anil Kapoor practices at 9405 60th Ave, Elmhurst, NY 11373. The listed phone number is (718) 393-3965.

What is Anil Kapoor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Anil Kapoor enrolled in Medicare?

Yes. Anil 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.

Is Anil Kapoor affiliated with any hospitals?

According to CMS data, Anil Kapoor is affiliated with Flushing Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Anil Kapoor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.