DR. SARINA KAPOOR M.D.
NPI 1861788531
Internal Medicine - Gastroenterology in Philadelphia, PA

Q: What is Sarina Kapoor's NPI number?

The NPI number for Sarina Kapoor is 1861788531. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Q: What is Sarina Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sarina Kapoor was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

245 N 15TH ST, ROOM 6225, NCB, PHILADELPHIA, PA 19102(215) 762-7916 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 16, 2018 (2 updates tracked since 2018).

On this page

About Dr. Sarina Kapoor M.d. NPPES

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

DR. SARINA KAPOOR M.D. (NPI 1861788531) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD462163) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1861788531

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SARINA KAPOORCredential: M.D.

Location Address245 N 15TH ST, ROOM 6225, NCBPhiladelphia, PA 19102-1101

Mailing Address701 Ostrum St Ste 201Fountain Hill, PA 18015-1152 · (484) 526-6545 · Fax (484) 526-6546

Phone(215) 762-7916

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJune 21, 2011

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1861788531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD462163

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

245 N 15TH ST, Philadelphia, PA 19102

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Secondary Practice Location 1

Location 1245 N 15th St, Room 6225, NCBPhiladelphia, PA 19102-1101 · Phone (215) 762-7916

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Sarina 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 ID2365745916

PECOS Enrollment IDI20180223000008, I20181127001948

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.

Areas of Expertise CMS Part B claims 11

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

166 services159 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.

146 services103 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services64 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

68 services67 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

66 services66 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.

60 services56 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

59 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 patients

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.

30 services23 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

19 services19 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390162

Location250 South 21st StreetEaston, PA 18042 · Northampton County

Emergency services

St Luke's Hospital - Anderson Campus

Acute Care Hospitals · Easton, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390326

Location1872 St Luke's BlvdEaston, PA 18045 · Northampton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

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.

TIRUMALA LAKSHMI KUMARI PENTAKOTA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

245 N 15TH ST, MAIL STOP 435
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-1179

SEAN W KIM D.O

Hospitalist

245 N 15TH ST, IM RESIDENCY MAIL STOP 427
PHILADELPHIA, PA 19102

Philadelphia County (443) 926-3875

ANDREI PLAGOV M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-1673

DR. BRIANNE GILIBERTO D.O.

Emergency Medicine

245 N 15TH ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-2365

DR. VADIM KEYFES M.D.

Emergency Medicine

245 N 15TH ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-2365

VIOLETA R GAMARRA MD

Pathology (Anatomic Pathology & Clinical Pathology)

245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-8873

DR. CHRISTOPHER SCOTT BODDEN MD

Internal Medicine

245 N 15TH ST, 6TH FLOOR, MS 427
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7916

DREXEL COLLEGE OF MEDICINE

General Acute Care Hospital (Critical Access)

245 N 15TH ST
PHILA, PA 19102

Philadelphia County (215) 762-4984

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 Sarina Kapoor's NPI number?

The NPI number for Sarina Kapoor is 1861788531. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Sarina Kapoor located?

Sarina Kapoor practices at 245 N 15th St Room 6225, Ncb, Philadelphia, PA 19102. The listed phone number is (215) 762-7916.

What is Sarina Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sarina Kapoor enrolled in Medicare?

Yes. Sarina 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 Sarina Kapoor accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sarina 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 Sarina Kapoor affiliated with any hospitals?

According to CMS data, Sarina Kapoor is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem, St Luke's Hospital - Easton Campus and St Luke's Hospital - Anderson Campus.

When was this NPI record last updated?

The NPPES record for Sarina Kapoor was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.