NIREN KAPOOR M.B.B.S., PHD
NPI 1619295466
Psychiatry & Neurology - Neurocritical Care in Charleston, SC
About Niren Kapoor M.b.b.s., Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIREN KAPOOR M.B.B.S., PHD (NPI 1619295466) is an individual neurocritical care provider in Charleston, South Carolina, licensed in South Carolina (39760) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Fort Wayne.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Accepted 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
Niren Kapoor M.b.b.s., Phd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Niren Kapoor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Johnstown, CO 80534
- Reassigned Medicare billing, South Carolina enrollment
- 70 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29425
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 Niren Kapoor's NPI number?
The NPI number for Niren Kapoor is 1619295466. It was assigned to this individual provider in the NPPES registry on May 4, 2010.
Where is Niren Kapoor located?
Niren Kapoor practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Niren Kapoor's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.
Is Niren Kapoor enrolled in Medicare?
Yes. Niren 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 Niren Kapoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niren Kapoor reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and Vibra Physicians LLC (Johnstown, CO). 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 Niren Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niren Kapoor accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Niren 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 Niren Kapoor affiliated with any hospitals?
According to CMS data, Niren Kapoor is affiliated with Musc Medical Center.
When was this NPI record last updated?
The NPPES record for Niren Kapoor was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Niren Kapoor, M.B.B.S., PHD · NPI 1619295466
Neurocritical Care physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since May 4, 2010.
## Identity
- **NPI:** 1619295466 (Entity type: Individual)
- **Enumerated:** May 4, 2010
- **Primary specialty:** Psychiatry & Neurology - Neurocritical Care · taxonomy 2084A2900X
- **State license:** 39760 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-8908
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC); Vibra Physicians LLC (NPI 1659705424, Johnstown, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619295466) · Data from the CMS NPPES public registry.