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SARGAM KAPOOR
NPI 1467893255
Internal Medicine - Hematology & Oncology in Cleveland, OH

Active since July 09, 2013PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
11100 EUCLID AVENUE, DEPARTMENT OF HEMATOLOGY-ONCOLOGY, CLEVELAND, OH 44106(216) 762-0067 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2019, Jun 23, 2016 (2 updates tracked since 2016).

About Sargam Kapoor NPPES

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

SARGAM KAPOOR (NPI 1467893255) is an individual hematology & oncology provider in Cleveland, Ohio, licensed in Ohio (57.030524) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1467893255
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSARGAM KAPOOR
Location Address11100 EUCLID AVENUE, DEPARTMENT OF HEMATOLOGY-ONCOLOGYCleveland, OH 44106
Mailing Address11100 Euclid Avenue, Department Of Hematology-oncologyCleveland, OH 44106 · (216) 762-0067
Phone(216) 762-0067
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 9, 2013
Last NPPES UpdateFebruary 22, 20192 updates tracked since enumeration
✔ NPI 1467893255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in OH · 57.030524
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11100 EUCLID AVENUE, Cleveland, OH 44106
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 E 210th St, Department of Hematology-OncologyBronx, NY 10467-2401 · Phone (718) 920-4321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Sargam Kapoor 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 ID7719213362
PECOS Enrollment IDI20230119002173
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 5

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 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.
136 services88 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 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.
19 services19 patients
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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

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.

MARY NOCK MD
Pediatrics (Neonatal-Perinatal Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7700
ANNE STORMORKEN MD
Pediatrics (Pediatric Critical Care Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7700
JIHANE FARESS MD
Internal Medicine
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8500
DR. KATHERINE APPLETON DOWNES MD
Pathology (Clinical Pathology/Laboratory Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7494
JOANN EISENBERG CRNA
Nurse Anesthetist, Certified Registered
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7330
DR. JUDY ZHUO JIN MD
Surgery
11100 EUCLID AVENUE, DEPARTMENT OF SURGERY
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3099
CHRISTOPHER DAVID GEIGER
Psychiatry & Neurology (Neurology)
11100 EUCLID AVENUE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
REGINA M ROSACE MD
Pediatrics (Pediatric Emergency Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7700

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 Sargam Kapoor's NPI number?

The NPI number for Sargam Kapoor is 1467893255. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Where is Sargam Kapoor located?

Sargam Kapoor practices at 11100 Euclid Avenue Department Of Hematology-Oncology, Cleveland, OH 44106. The listed phone number is (216) 762-0067.

What is Sargam Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sargam Kapoor enrolled in Medicare?

Yes. Sargam 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 Sargam Kapoor accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Moda Health Plan, Inc. list Sargam 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 Sargam Kapoor affiliated with any hospitals?

According to CMS data, Sargam Kapoor is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sargam Kapoor was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.