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SAURABH KAPUR MD
NPI 1558569186
Internal Medicine - Gastroenterology in Chicago, IL

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
680 N LAKE SHORE DR, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2018, Apr 27, 2018 (2 updates tracked since 2018).

About Saurabh Kapur Md NPPES

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

SAURABH KAPUR MD (NPI 1558569186) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036146688) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1558569186
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSAURABH KAPURCredential: MD
Location Address680 N LAKE SHORE DRChicago, IL 60611
Mailing Address676 N Saint Clair St Ste 1400Chicago, IL 60611-2951 · (312) 695-5398
Phone(312) 695-6868
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 10, 20182 updates tracked since enumeration
✔ NPI 1558569186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036146688
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 002860 (NY)
680 N LAKE SHORE DR, Chicago, IL 60611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. 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

Saurabh Kapur 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 ID8325271588
PECOS Enrollment IDI20191010000838
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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
94 services93 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.
65 services64 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
51 services51 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
47 services45 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.
41 services34 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

MRS. BONNIE DEVROE MALIK CRNA
Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
IMG MD, LLC
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 981-4400
DR. JAY MICHAEL PENSLER M.D.
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Cook County (312) 642-7777
JAY PRYSTOWSKY MD
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ANURADHA PERNI MD
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Cook County (312) 654-1166
DR. LEANNE TRAPP BENSKO M.D.
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Cook County (312) 642-5515
DR. JULIA GOLDIN DNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 965-6868

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 Saurabh Kapur's NPI number?

The NPI number for Saurabh Kapur is 1558569186. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Saurabh Kapur located?

Saurabh Kapur practices at 680 N Lake Shore Dr, Chicago, IL 60611. The listed phone number is (312) 695-6868.

What is Saurabh Kapur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Saurabh Kapur enrolled in Medicare?

Yes. Saurabh Kapur 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 Saurabh Kapur accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Saurabh Kapur 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 Saurabh Kapur affiliated with any hospitals?

According to CMS data, Saurabh Kapur is affiliated with University Of Kansas Hospital and Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Saurabh Kapur was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.