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NIDHI KAPOOR M.D.
NPI 1912972324
Emergency Medicine in Providence, RI

Active since February 20, 2006PECOS Enrolled
75/100
CMS Quality Rating
593 EDDY ST, 55 CLAVERICK 2ND FLOOR, PROVIDENCE, RI 02903(401) 444-5210(401) 444-2307 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nidhi Kapoor M.d. NPPES

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

NIDHI KAPOOR M.D. (NPI 1912972324) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD11163) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Morton Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1997).

NPPES Registry Identity

NPI1912972324
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNIDHI KAPOORCredential: M.D.
Location Address593 EDDY ST, 55 CLAVERICK 2ND FLOORProvidence, RI 02903-4923
Mailing Address506 Morris AveProvidence, RI 02906-3531 · (401) 270-3998
Phone(401) 444-5210
Fax(401) 444-2307
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1997
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJanuary 4, 2008
✔ NPI 1912972324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in RI · MD11163
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Other Identifiers 4

Other27420-3RI · Bluecross Blueshield
Other1912972324Npi
Medicare UPINH16813
Medicaid7010525RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidhi Kapoor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325029473
PECOS Enrollment IDI20090202000456
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
144 services140 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Nidhi Kapoor's NPI number?

The NPI number for Nidhi Kapoor is 1912972324. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Nidhi Kapoor located?

Nidhi Kapoor practices at 593 Eddy St 55 Claverick 2nd Floor, Providence, RI 02903. The listed phone number is (401) 444-5210.

What is Nidhi Kapoor's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nidhi Kapoor enrolled in Medicare?

Yes. Nidhi Kapoor is registered in the Medicare PECOS enrollment system.

Is Nidhi Kapoor affiliated with any hospitals?

According to CMS data, Nidhi Kapoor is affiliated with Morton Hospital.

When was this NPI record last updated?

The NPPES record for Nidhi Kapoor was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.