MR. KALVIN KUNAL KAPOOR D.O
NPI 1861829392
Psychiatry & Neurology - Psychiatry in Miami, FL

Active since September 30, 2013PECOS EnrolledAccepts Medicare Assignment
66 W FLAGLER ST STE 900, MIAMI, FL 33130(610) 306-2618 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2023, Feb 6, 2019, Jul 7, 2017 (3 updates tracked since 2017).

About Mr. Kalvin Kunal Kapoor D.o NPPES

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

MR. KALVIN KUNAL KAPOOR D.O (NPI 1861829392) is an individual psychiatry provider in Miami, Florida, licensed in Florida (OS13693) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1861829392
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. KALVIN KUNAL KAPOORCredential: D.O
Location Address66 W FLAGLER ST STE 900Miami, FL 33130-1807
Mailing Address6928 Sw 39th St Apt A208Davie, FL 33314-2471 · (610) 306-2618
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 30, 2013
Last NPPES UpdateMay 24, 20243 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1861829392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · OS13693
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License OS13693 (FL)
66 W FLAGLER ST STE 900, Miami, FL 33130

Secondary Practice Locations 2

Location 17201 N University DrTamarac, FL 33321-2913 · Phone (954) 724-6540
Location 299 Almaden Blvd Ste 600San Jose, CA 95113-1605 · Phone (408) 402-4382

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

Mr. Kalvin Kunal Kapoor D.o 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 ID2163788902
PECOS Enrollment IDI20180130001502, I20241030003284
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

7

Medicare enrollment records show Kalvin Kapoor reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Multi-Specialty
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut, Massachusetts and Michigan enrollments
  • 613 clinicians in this Medicare group
Community Health
6583 SW 39TH TER
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
Community/Behavioral Health
5590 W 20TH AVE STE 404
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
Psychiatric/Mental Health
5154 MILLER RD STE I
Flint, MI 48507
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Clinical
3253 CONGRESS AVE
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 23 clinicians in this Medicare group
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, Florida enrollment
  • 40 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.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33130 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
4%46 patients1/55-star benchmark: 92%
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…
99%145 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%81 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
7%1,374 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
18%28 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
17%29 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%234 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
2%207 patients1/55-star benchmark: 96%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 4% · 28 patients
4%28 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.

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.

Social Worker (Clinical)
66 W FLAGLER ST STE 900
MIAMI, FL 33130
Psychiatry & Neurology (Psychiatry)
66 W FLAGLER ST STE 900
MIAMI, FL 33130
Counselor (Mental Health)
66 W FLAGLER ST STE 900
MIAMI, FL 33130
Marriage & Family Therapist
66 W FLAGLER ST STE 900
MIAMI, FL 33130
Nurse Practitioner (Psychiatric/Mental Health)
66 W FLAGLER ST STE 900
MIAMI, FL 33130
Home Health Aide
66 W FLAGLER ST STE 900
MIAMI, FL 33130
Social Worker (Clinical)
66 W FLAGLER ST STE 900
MIAMI, FL 33130
Nurse Practitioner (Psychiatric/Mental Health)
66 W FLAGLER ST STE 900
MIAMI, FL 33130

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 Kalvin Kapoor's NPI number?

The NPI number for Kalvin Kapoor is 1861829392. It was assigned to this individual provider in the NPPES registry on September 30, 2013.

Where is Kalvin Kapoor located?

Kalvin Kapoor practices at 66 W Flagler St Ste 900, Miami, FL 33130. The listed phone number is (610) 306-2618.

What is Kalvin Kapoor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kalvin Kapoor enrolled in Medicare?

Yes. Kalvin 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 Kalvin Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalvin Kapoor reassigns Medicare benefits to 7 organizations: Vital Psych MD LLC (Miami, FL), Grow Healthcare Group PA (Miami, FL), Campillo Medical Corp (Miami, FL), Alma Community Center Inc (Hialeah, FL), Crossley Wellness Center (Flint, MI) and 2 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 Kalvin Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalvin Kapoor accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource, CareSource (Common Ground Healthcare) and Cigna HealthCare of Florida, Inc. and 10 other insurers list Kalvin 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 Kalvin Kapoor was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.