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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSHANT KAPOOR D.O.
NPI 1558755587
Internal Medicine - Critical Care Medicine in Quincy, IL

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
1005 BROADWAY ST, QUINCY, IL 62301(217) 223-1200(217) 277-8988 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Jul 22, 2026, Nov 4, 2024 and 4 more (7 updates tracked since 2020).

About Sushant Kapoor D.o. NPPES

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

SUSHANT KAPOOR D.O. (NPI 1558755587) is an individual critical care medicine provider in Quincy, Illinois, licensed in Illinois (036160015) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2015).

NPPES Registry Identity

NPI1558755587
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSUSHANT KAPOORCredential: D.O.
Location Address1005 BROADWAY STQuincy, IL 62301-2834
Mailing Address1005 Broadway StQuincy, IL 62301-2834 · (217) 223-8400 · Fax (217) 277-3960
Phone(217) 223-1200
Fax(217) 277-8988
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2015
Enumeration DateMarch 27, 2015
Last NPPES UpdateSeptember 24, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1558755587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036160015
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036160015 (IL)
Also ListedInternal MedicineTaxonomy 207R00000X · License 036160015 (IL)
1005 BROADWAY ST, Quincy, IL 62301
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Accepted Insurance

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

Sushant Kapoor D.o. 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 ID446565055
PECOS Enrollment IDI20220808001930, I20240506001101, I20240813001368
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 Reassignments

7

Medicare enrollment records show Sushant Kapoor reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blessing Hospital
Same address
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1235656745 (Illinois), NPI 1255515342 (Illinois)
  • 363 clinicians in this Medicare group
NPI 1114471737 (217) 223-8400
Blessingcare Corporation
39 mi
Critical Access
640 W WASHINGTON ST
Pittsfield, IL 62363
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1083946156 (Illinois)
  • 33 clinicians in this Medicare group
NPI 1720086218 (217) 285-2113
Passavant Memorial Area Hospital Association
62 mi
Critical Access
1600 W WALNUT ST
Jacksonville, IL 62650
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1235864810 (Illinois)
  • 39 clinicians in this Medicare group
NPI 1174580831 (217) 245-9541
Osf Multi-Specialty Group
109 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Critical Care Physicians Of Illinois LLC
205 mi
Critical Care Medicine
2000 OGDEN AVE
Aurora, IL 60504
  • Reassigned Medicare billing, Illinois enrollment
  • 96 clinicians in this Medicare group
NPI 1508134966 (847) 618-1000
Riverview Hospital
285 mi
General Acute Care Hospital
395 WESTFIELD RD
Noblesville, IN 46060
  • Reassigned Medicare billing, Indiana enrollment
  • 303 clinicians in this Medicare group
NPI 1225275928 (317) 773-0760
Central Prairie Physicians PLLC
726 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Illinois enrollment
  • 48 clinicians in this Medicare group
NPI 1821884750 (888) 264-0330

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 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.

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.
134 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services49 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.
64 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
23 services23 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141315
Location640 W WashingtonPittsfield, IL 62363 · Pike County
Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

ANGELA BYERLY
Pharmacist
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
CLARK OLAVI ANDELIN MD
Obstetrics & Gynecology
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
BROOK AUDRA LINENFELSER LCSW
Social Worker (Clinical)
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
DR. STEVE C WANG DO
Emergency Medicine
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
KELLIE ELIZABETH FLIPPIN MD
Internal Medicine (Hematology & Oncology)
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
MR. EVAN PETERS CPHT
Pharmacy Technician
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
GLENDA BROWN NP
Nurse Practitioner
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
JOSEPH VALENTINE MEYER MD
Anesthesiology
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400

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 Sushant Kapoor's NPI number?

The NPI number for Sushant Kapoor is 1558755587. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Sushant Kapoor located?

Sushant Kapoor practices at 1005 Broadway St, Quincy, IL 62301. The listed phone number is (217) 223-1200.

What is Sushant Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sushant Kapoor enrolled in Medicare?

Yes. Sushant 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 Sushant Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushant Kapoor reassigns Medicare benefits to 7 organizations: Blessing Hospital (Quincy, IL), Blessingcare Corporation (Pittsfield, IL), Passavant Memorial Area Hospital Association (Jacksonville, IL), Osf Multi-Specialty Group (Peoria, IL), Critical Care Physicians Of Illinois LLC (Aurora, IL) and 2 more organizations, listed in the Medicare section above. 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 Sushant Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushant Kapoor accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and CareSource list Sushant 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 Sushant Kapoor affiliated with any hospitals?

According to CMS data, Sushant Kapoor is affiliated with Blessing Hospital, Saint Francis Medical Center, Mc Donough District Hospital, Illini Community Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sushant Kapoor was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.