DR. SUMIT KAPOOR MD
NPI 1427322478
Internal Medicine - Critical Care Medicine in Bronx, NY

Active since March 07, 2012PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-5640 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1427322478
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SUMIT KAPOORCredential: MD
Location Address1400 PELHAM PKWY SBronx, NY 10461-1138
Mailing Address200 Lothrop StPittsburgh, PA 15213-2536 · (412) 647-2345
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 7, 2012
Last NPPES UpdateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
NPI 1427322478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in NY · 272091 Licensed in CT · 051715
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1400 PELHAM PKWY S, Bronx, NY 10461

Accepted 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 ID1254573710
PECOS Enrollment IDI20220701000081
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 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.

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.
217 services98 patients
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.
86 services33 patients

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, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Physician 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.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Anesthesiology
1400 PELHAM PKWY S
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.

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.