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ABHISHEK KAPILA M.D.
NPI 1750627170
Internal Medicine in Louisville, KY

Active since December 13, 2012PECOS Enrolled
95.5/100
CMS Quality Rating
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 587-4267 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2021, Jul 24, 2019, Mar 26, 2018 and 1 more (4 updates tracked since 2016).

About Abhishek Kapila M.d. NPPES

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

ABHISHEK KAPILA M.D. (NPI 1750627170) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (48522) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1750627170
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABHISHEK KAPILACredential: M.D.
Location Address200 ABRAHAM FLEXNER WAYLouisville, KY 40202-2877
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 587-4267
Phone(502) 587-4267
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 13, 2012
Last NPPES UpdateMay 19, 20214 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1750627170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 48522
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 ABRAHAM FLEXNER WAY, Louisville, KY 40202
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Secondary Practice Location 1

Location 1200 E Chestnut St Ste 303Louisville, KY 40202-1831 · Phone (502) 629-5552 · Fax (502) 629-3132

Other Identifiers 1

Medicaid7100420170KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abhishek Kapila M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466757471
PECOS Enrollment IDI20160229001086, I20240701000297
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

8

Medicare enrollment records show Abhishek Kapila reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Phyisicians, Inc.
Same address
Critical Care Medicine
200 ABRAHAM FLEXNER WAY
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
NPI 1912572504 (502) 587-4401
Abhishek Kapila MD
1.1 mi
Internal Medicine
1313 SAINT ANTHONY PL
Louisville, KY 40204
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1851986160 (502) 558-8436
Community Medical Associates, Inc.
1.9 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164
New Albany Hospitalist Group, LLC
5.8 mi
Hospitalist
1850 STATE ST
New Albany, IN 47150
  • Reassigned Medicare billing, Indiana enrollment
  • 163 clinicians in this Medicare group
NPI 1255084752 (812) 944-7701
Louisville Hospitalist Associates PLLC
6.1 mi
Hospitalist
3950 KRESGE WAY, STE 308
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 50 clinicians in this Medicare group
NPI 1962531731 (502) 895-9627
24 On Physicians, PC
68 mi
Hospitalist
217 S 3RD ST
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1679522346 (800) 923-2247
Cogent Healthcare Of Kentucky, Psc
69 mi
Internal Medicine
1 SAINT JOSEPH DR
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
NPI 1053362293 (859) 313-1000
Southeastern Physician Services PC
174 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky enrollment
  • 358 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

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.

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.
1,663 services405 patients
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.
491 services166 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.
325 services314 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
209 services208 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.
76 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
89%356 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 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$34.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers83 claims83 services$16.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers85 claims85 services$79.88 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 20

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

MAR MILBURN
Pharmacist
200 ABRAHAM FLEXNER WAY, ADMINISTRATION
LOUISVILLE, KY 40202
Jefferson County (502) 210-4210
ERIC HO CHUN CHEUNG MD
Internal Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 587-4267
DR. CYNTHIA H HART MD
Radiology (Diagnostic Radiology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 587-4231
JESSICA ANN BANET BLAKE FNP-C
Nurse Practitioner
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 367-3360
LOUISVILLE KIDNEY CARE LLC
Internal Medicine (Nephrology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 587-4011
UOFL HEALTH-LOUISVILLE INC
Pharmacy (Community/Retail Pharmacy)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (615) 268-1380
MRS. KELLY GOSHORN A.P.R.N.
Nurse Practitioner (Family)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 852-5689
EMMA ROSE GANSHIRT FOX
Emergency Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 852-5689

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 Abhishek Kapila's NPI number?

The NPI number for Abhishek Kapila is 1750627170. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Abhishek Kapila located?

Abhishek Kapila practices at 200 Abraham Flexner Way, Louisville, KY 40202. The listed phone number is (502) 587-4267.

What is Abhishek Kapila's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abhishek Kapila enrolled in Medicare?

Yes. Abhishek Kapila is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abhishek Kapila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhishek Kapila reassigns Medicare benefits to 8 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY), Abhishek Kapila MD (Louisville, KY), Community Medical Associates, Inc. (Louisville, KY), New Albany Hospitalist Group, LLC (New Albany, IN), Louisville Hospitalist Associates PLLC (Louisville, KY) and 3 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 Abhishek Kapila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhishek Kapila accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Abhishek Kapila 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 Abhishek Kapila affiliated with any hospitals?

According to CMS data, Abhishek Kapila is affiliated with Baptist Health Floyd, Saint Joseph Hospital, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Abhishek Kapila was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.