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MADHAVI PRABHAKAR KAPOOR M.D.
NPI 1467795518
Pediatrics in New York, NY

Active since March 27, 2013PECOS Enrolled
160 VARICK ST FL 6, NEW YORK, NY 10013(212) 457-1790 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madhavi Prabhakar Kapoor M.d. NPPES

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

MADHAVI PRABHAKAR KAPOOR M.D. (NPI 1467795518) is an individual pediatrics provider in New York, New York, licensed in Georgia (88863) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467795518
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMADHAVI PRABHAKAR KAPOORCredential: M.D.
Location Address160 VARICK ST FL 6New York, NY 10013-1272
Mailing Address2870 Peachtree Rd Nw # 915-2603Atlanta, GA 30305-2918
Phone(212) 457-1790
Sole ProprietorNo
Enumeration DateMarch 27, 2013
Last NPPES UpdateApril 2, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1467795518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 88863✔ Licensed in NY · 284779
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 VARICK ST FL 6, New York, NY 10013
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Other Names 1

Other Name (5)Madhavi Sai Prabhakar M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhavi Prabhakar Kapoor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Madhavi Kapoor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,037 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 4

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

MAVEN CLINIC ADMINISTRATORS INC.
Clinic/Center (Family Planning, Non-Surgical)
160 VARICK ST FL 6
NEW YORK, NY 10013
New York County (212) 868-6655
MAVEN CLINIC CO.
Obstetrics & Gynecology (Reproductive Endocrinology)
160 VARICK ST FL 6
NEW YORK, NY 10013
New York County (212) 868-6655
DCW PROVIDERS, P.C.
Health and Wellness Coach
160 VARICK ST FL 6
NEW YORK, NY 10013
New York County (212) 868-6655
DCW PROVIDERS (IL) P.L.L.C.
Clinic/Center (Family Planning, Non-Surgical)
160 VARICK ST FL 6
NEW YORK, NY 10013
New York County (212) 868-6655

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 Madhavi Kapoor's NPI number?

The NPI number for Madhavi Kapoor is 1467795518. It was assigned to this individual provider in the NPPES registry on March 27, 2013. The provider is also known as Madhavi Sai Prabhakar M.D..

Where is Madhavi Kapoor located?

Madhavi Kapoor practices at 160 Varick St Fl 6, New York, NY 10013. The listed phone number is (212) 457-1790.

What is Madhavi Kapoor's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Madhavi Kapoor enrolled in Medicare?

Yes. Madhavi Kapoor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madhavi Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhavi Kapoor reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Madhavi Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madhavi Kapoor was last updated on April 2, 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.