DR. SUMIT KAPOOR MD
NPI 1427322478
Internal Medicine - Critical Care Medicine in Bronx, NY
About Dr. Sumit Kapoor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUMIT KAPOOR MD (NPI 1427322478) is an individual critical care medicine provider in Bronx, New York, licensed in New York (272091) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Sumit Kapoor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, PA 16323
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Mercy
Acute Care Hospitals · Pittsburgh, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
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 1427322478. It was assigned to this individual provider in the NPPES registry on March 7, 2012.
Where is Sumit Kapoor located?
Sumit Kapoor practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5640.
What is Sumit Kapoor's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
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.
Which organizations bill Medicare for Sumit Kapoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumit Kapoor reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Franklin, PA) and Baylor College Of Medicine (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sumit Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumit Kapoor accept?
Health plans from Blue Cross and Blue Shield of Texas 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 Upmc Mercy.
When was this NPI record last updated?
The NPPES record for Sumit Kapoor was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Sumit Kapoor, MD · NPI 1427322478
Critical Care Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since March 7, 2012.
## Identity
- **NPI:** 1427322478 (Entity type: Individual)
- **Enumerated:** March 7, 2012
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 272091 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (718) 918-5640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Pittsburgh Physicians (NPI 1619381456, Franklin, PA); Baylor College Of Medicine (NPI 1881026664, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1427322478) · Data from the CMS NPPES public registry.