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DR. SUNIL AMRIT KAPOOR M.D.
NPI 1801852215
Pediatrics - Pediatric Pulmonology in Fairfax, VA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
2730 A PROSPERITY AVENUE, FAIRFAX, VA 22031(703) 289-1410(703) 289-1420 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sunil Amrit Kapoor M.d. NPPES

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

DR. SUNIL AMRIT KAPOOR M.D. (NPI 1801852215) is an individual pediatric pulmonology provider in Fairfax, Virginia, licensed in Virginia (0101231032) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1801852215
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. SUNIL AMRIT KAPOORCredential: M.D.
Location Address2730 A PROSPERITY AVENUEFairfax, VA 22031-2238
Mailing Address2730 B Prosperity AvenueFairfax, VA 22031-2238 · (703) 289-1400 · Fax (703) 289-1414
Phone(703) 289-1410
Fax(703) 289-1420
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 5, 2007
✔ NPI 1801852215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in VA · 0101231032✔ Licensed in DC · MD21982✔ Licensed in MD · D0060870
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
2730 A PROSPERITY AVENUE, Fairfax, VA 22031
Open in Google Maps ↗

Other Identifiers 4

Medicaid6706703VA
Medicaid6728094VA
Medicaid6716288VA
Medicaid6716237VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Sunil Amrit 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 ID1850798836
PECOS Enrollment IDI20210917000080
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

2

Medicare enrollment records show Sunil Kapoor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Inc
458 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Wellstar Medical Group, LLC
515 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 2

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

DR. JENNY LEE KELTY M.D.
Pediatrics (Pediatric Pulmonology)
2730 A PROSPERITY AVENUE
FAIRFAX, VA 22031
Fairfax County (703) 289-1410
PATTI P DECORTE CPNP
Nurse Practitioner (Pediatrics)
2730 A PROSPERITY AVENUE
FAIRFAX, VA 22031
Fairfax County (703) 289-1410

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 Sunil Kapoor's NPI number?

The NPI number for Sunil Kapoor is 1801852215. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Sunil Kapoor located?

Sunil Kapoor practices at 2730 A Prosperity Avenue, Fairfax, VA 22031. The listed phone number is (703) 289-1410.

What is Sunil Kapoor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Sunil Kapoor enrolled in Medicare?

Yes. Sunil 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 Sunil Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Kapoor reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). 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 Sunil Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Kapoor accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Sunil 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.

When was this NPI record last updated?

The NPPES record for Sunil Kapoor was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.