RACHNA KAPOOR MD
NPI 1861588477
Pediatrics in Wilmington, DE

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
1600 ROCKLAND RD, WILMINGTON, DE 19803(302) 651-4200 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1861588477
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRACHNA KAPOORCredential: MD
Location Address1600 ROCKLAND RDWilmington, DE 19803-3607
Mailing AddressPo Box 191Rockland, DE 19732-0191
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2003
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1861588477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in DE · CI-0013761 Licensed in PA · MD429713
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1600 ROCKLAND RD, Wilmington, DE 19803

Other Identifiers 4

Medicaid101834860PA
Medicaid1861588477KY
Medicaid0223743NJ
Medicaid2963628OH

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

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.

PECOS PAC ID1052452844
PECOS Enrollment IDI20200714000539
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.

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.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.96 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
1 supplier12 claims12 services$67.88 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.

Pediatrics (Neonatal-Perinatal Medicine)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Obstetrics & Gynecology
1600 ROCKLAND RD
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pediatrics (Pediatric Infectious Diseases)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Radiology (Pediatric Radiology)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Psychologist (Clinical Child & Adolescent)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Nurse Practitioner
1600 ROCKLAND RD
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.

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.