ROHIT KAPOOR M.D.
NPI 1750392908
Internal Medicine - Hematology & Oncology in Live Oak, TX

Active since August 11, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0911491 · Accreditation
81.23/100
CMS Quality Rating
12602 TOEPPERWEIN RD STE 114, LIVE OAK, TX 78233(210) 655-0075(210) 655-5094 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Oct 17, 2019 (2 updates tracked since 2019).

About Rohit Kapoor M.d. NPPES

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

ROHIT KAPOOR M.D. (NPI 1750392908) is an individual hematology & oncology provider in Live Oak, Texas, licensed in Texas (J5369) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds an CLIA Accreditation certificate valid through June 13, 2028, and is affiliated with Bay Area Hospital.

NPPES Registry Identity

NPI1750392908
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameROHIT KAPOORCredential: M.D.
Location Address12602 TOEPPERWEIN RD STE 114Live Oak, TX 78233-3270
Mailing AddressPo Box 676596Dallas, TX 75267-6596 · (210) 655-0075 · Fax (210) 655-2117
Fax(210) 655-5094
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 11, 2006
Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
NPI 1750392908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in TX · J5369
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.
12602 TOEPPERWEIN RD STE 114, Live Oak, TX 78233

Other Identifiers 6

Other83246ETX · Blue Cross Blue Shield
Other4344638TX · Aetna
Other644560TX · Cigna
Other830007415TX · Railroad Medicare
Other1223126010TX · United Health Care
Medicaid129591707TX

Accepted 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

Rohit Kapoor M.d. 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 ID7517063316
PECOS Enrollment IDI20100201000782, I20251028002866
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0911491

Rohit Kapoor MD PA · San Antonio, TX
Active · expires Jun 13, 2028
CLIA Number45D0911491
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorRohit Kapoor
Laboratory Phone(210) 655-0075
Laboratory LocationRohit Kapoor MD PA12602 Toepperwein Suite 114 Toepperwein Medical Center, San Antonio, TX 78233
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 39

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.

Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
20,400 services16 patients
Injection, granisetron hydrochloride, 100 mcg J1626
Granisetron hydrochloride is an anti-nausea medication given by injection. It helps prevent nausea and vomiting often caused by cancer treatments like chemotherapy. Its dosage is measured in micrograms (mcg).
6,610 services68 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
4,150 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
2,526 services544 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
2,447 services536 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.
1,284 services442 patients

Hospital Affiliations CMS Care Compare 3

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

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.89
Promoting Interoperability100
Improvement Activities40
Cost31.4

Reported Quality Measures

Advance Care Plan
58%969 patients3/55-star benchmark: 100%
Breast Cancer Screening
1%148 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
70%419 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
0%10,149 patients1/55-star benchmark: 100%
Oncology: Advance Care Planning in Metastatic Cancer Patients
29%204 patients2/55-star benchmark: 85%
Oncology: Hepatitis B Serology Testing and Prophylactic Treatment Prior to Receiving Anti-CD20 Targeting Drugs
11%28 patients
Oncology: Medical and Radiation - Pain Intensity Quantified
57%3,157 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
20%181 patients1/55-star benchmark: 100%
Oncology: Patient-Reported Pain Improvement
48%91 patients
Oncology: Supportive Care Drug Utilization in Last 14 Days of Life
Lower rates are better for this measure.
0%32 patients
Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score better)
Lower rates are better for this measure.
9%32 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%1,883 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,818 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 30% · 1,420 patients
Patients screened: 34% · 1,420 patients
2%60 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,025 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
0%238 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
3%1,025 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers12 claims48 services$18.37 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims408 services$2.57 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims9,375 services$0.25 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers12 claims3,840 services$9.50 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers12 claims48 services$2.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Internal Medicine (Hematology & Oncology)
12602 TOEPPERWEIN RD STE 114
LIVE OAK, TX 78233

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 Rohit Kapoor's NPI number?

The NPI number for Rohit Kapoor is 1750392908. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Rohit Kapoor located?

Rohit Kapoor practices at 12602 Toepperwein Rd Ste 114, Live Oak, TX 78233. The listed phone number is (210) 655-0075.

What is Rohit Kapoor's specialty?

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

Is Rohit Kapoor enrolled in Medicare?

Yes. Rohit 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.

Does Rohit Kapoor hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0911491) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rohit Kapoor accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 11 other insurers list Rohit 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 Rohit Kapoor affiliated with any hospitals?

According to CMS data, Rohit Kapoor is affiliated with Bay Area Hospital, Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Rohit Kapoor was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.