RACHNA KAPOOR MD
NPI 1861588477
Pediatrics in Wilmington, DE
About Rachna Kapoor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHNA KAPOOR MD (NPI 1861588477) is an individual pediatrics provider in Wilmington, Delaware, licensed in Delaware (CI-0013761) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Rachna Kapoor Md 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 Rachna Kapoor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- 526 clinicians in this Medicare group
Belcamp, MD 21017
- Reassigned Medicare billing, Maryland enrollment
- 4,483 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
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 Rachna Kapoor's NPI number?
The NPI number for Rachna Kapoor is 1861588477. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Rachna Kapoor located?
Rachna Kapoor practices at 1600 Rockland Rd, Wilmington, DE 19803. The listed phone number is (302) 651-4200.
What is Rachna Kapoor's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Rachna Kapoor enrolled in Medicare?
Yes. Rachna 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 Rachna Kapoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachna Kapoor reassigns Medicare benefits to 2 organizations: The Nemours Foundation (Wilmington, DE) and Johns Hopkins University (Belcamp, MD). 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 Rachna Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachna Kapoor accept?
Health plans from AmeriHealth Caritas Next list Rachna 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 Rachna Kapoor was last updated on December 22, 2020. 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.
# Rachna Kapoor, MD · NPI 1861588477
Pediatrics physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1861588477 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** CI-0013761 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 ROCKLAND RD, Wilmington, DE 19803-3607
- **Phone:** (302) 651-4200
## 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): The Nemours Foundation (NPI 1366594699, Wilmington, DE); Johns Hopkins University (NPI 1376342774, Belcamp, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2003
## Record status
- **NPPES last updated:** December 22, 2020
- **Other identifiers:** Medicaid 101834860 (PA); Medicaid 1861588477 (KY); Medicaid 0223743 (NJ); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1861588477) · Data from the CMS NPPES public registry.