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DR. KAPIL GANGWAL MBBS
NPI 1891967683
Internal Medicine in Everett, WA

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
1330 ROCKEFELLER AVE, SUITE 230, EVERETT, WA 98201(425) 261-4925 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kapil Gangwal Mbbs NPPES

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

DR. KAPIL GANGWAL MBBS (NPI 1891967683) is an individual internal medicine provider in Everett, Washington, licensed in Maryland (P21899) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1891967683
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAPIL GANGWALCredential: MBBS
Location Address1330 ROCKEFELLER AVE, SUITE 230Everett, WA 98201-1684
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(425) 261-4925
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 1, 2008
Last NPPES UpdateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1891967683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · P21899
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1330 ROCKEFELLER AVE, Everett, WA 98201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Kapil Gangwal Mbbs 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 ID749474625
PECOS Enrollment IDI20101104000834
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 10

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.

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.
410 services217 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
53 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services47 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers35 claims91 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers14 claims20 services$0.93 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$30.88 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers31 claims31 services$193.87 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.

KAREN M TOOLEY PA-C
Physician Assistant (Surgical)
1330 ROCKEFELLER AVE, SUITE 400
EVERETT, WA 98201
Snohomish County (425) 261-4950
DR. EVAN MILLER CANTINI M.D.
Physical Medicine & Rehabilitation
1330 ROCKEFELLER AVE, SUITE 230
EVERETT, WA 98201
Snohomish County (425) 261-4910
DAWNA RUTH ROFF-CRANE ARNP
Nurse Practitioner (Gerontology)
1330 ROCKEFELLER AVE, SUITE 230
EVERETT, WA 98201
Snohomish County (425) 261-4925
ELIZABETH NEUGER MD
Surgery
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5442
SALWA R LABIB MD
Internal Medicine (Nephrology)
1330 ROCKEFELLER AVE, SUITE 450
EVERETT, WA 98201
Snohomish County (425) 258-6801
JAMES MICHAEL GEIER MD
Neurological Surgery
1330 ROCKEFELLER AVE, SUITE 220
EVERETT, WA 98201
Snohomish County (425) 261-4920
MS. NORA LYMAN WOOD PA-C
Physician Assistant
1330 ROCKEFELLER AVE, STE 400
EVERETT, WA 98201
Snohomish County (425) 261-4950
DR. PERRY A SORIANO MD
Surgery (Surgical Oncology)
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5442

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 Kapil Gangwal's NPI number?

The NPI number for Kapil Gangwal is 1891967683. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Kapil Gangwal located?

Kapil Gangwal practices at 1330 Rockefeller Ave Suite 230, Everett, WA 98201. The listed phone number is (425) 261-4925.

What is Kapil Gangwal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kapil Gangwal enrolled in Medicare?

Yes. Kapil Gangwal 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 Kapil Gangwal accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kapil Gangwal 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 Kapil Gangwal affiliated with any hospitals?

According to CMS data, Kapil Gangwal is affiliated with Skagit Valley Hospital and Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for Kapil Gangwal was last updated on May 20, 2021. 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.