ABHI H KAPURIA
NPI 1730542812
Psychiatry & Neurology - Neurology in Fort Myers, FL

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
11215 METRO PKWY STE 1, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2024, Apr 5, 2024, Oct 11, 2023 and 8 more (11 updates tracked since 2021).

About Abhi H Kapuria NPPES

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

ABHI H KAPURIA (NPI 1730542812) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (ME151773) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1730542812
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameABHI H KAPURIA
Location Address11215 METRO PKWY STE 1Fort Myers, FL 33966-1206
Mailing Address11215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · (239) 208-2212
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateSeptember 9, 202411 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1730542812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · ME151773✔ Licensed in TX · T3493✔ Licensed in NC · 2020-03532✔ Licensed in PA · MD476265✔ Licensed in NH · 21888✔ Licensed in MT · 100291✔ Licensed in MO · 2021046716
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 036171665 (IL)
11215 METRO PKWY STE 1, Fort Myers, FL 33966

Secondary Practice Locations 4

Location 115300 West Ave Ste 210Orland Park, IL 60462-4686 · Phone (708) 226-2890 · Fax (708) 226-2390
Location 22790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201
Location 32301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111
Location 41250 S Cedar Crest Blvd Ste 405Allentown, PA 18103-6224 · Phone (610) 402-8420

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

Abhi H Kapuria 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 ID8820493935
PECOS Enrollment IDI20230915002356, I20240912003414
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

14

Medicare enrollment records show Abhi Kapuria reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1800 10TH AVE
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 391 clinicians in this Medicare group
General Acute Care Hospital
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
Family Medicine
4620 WOODY MILL RD STE G
Greensboro, NC 27406
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
Neurology
205 E 42ND ST STE 1947
New York, NY 10017
  • Reassigned Medicare billing, Florida, Georgia, Illinois, Missouri and North Carolina enrollments
  • 16 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Neurology
4900 CALIFORNIA AVE STE 210B
Bakersfield, CA 93309
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 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 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.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
34 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services19 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
17 services16 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.
16 services15 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966

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 Abhi Kapuria's NPI number?

The NPI number for Abhi Kapuria is 1730542812. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Abhi Kapuria located?

Abhi Kapuria practices at 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.

What is Abhi Kapuria's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Abhi Kapuria enrolled in Medicare?

Yes. Abhi Kapuria 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 Abhi Kapuria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhi Kapuria reassigns Medicare benefits to 14 organizations: Columbus Ambulatory Healthcare Services, Inc. (Columbus, GA), Upson County Hospital Inc (Thomaston, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA), Moses Cone Physician Services, Inc. (Greensboro, NC) and 9 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 Abhi Kapuria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhi Kapuria accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, CareSource, Cigna HealthCare of Arizona, Inc and Cigna Healthcare and 1 other insurer list Abhi Kapuria 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 Abhi Kapuria affiliated with any hospitals?

According to CMS data, Abhi Kapuria is affiliated with Osf Little Company Of Mary Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Abhi Kapuria was last updated on September 9, 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.