DR. VINAY KAPOOR M.D.
NPI 1952491698
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bayside, NY

Active since October 13, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0880194 · Waiver
86.49/100
CMS Quality Rating
22215 NORTHERN BLVD, STE. LL-B, BAYSIDE, NY 11361(718) 279-4005(718) 279-4413 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vinay Kapoor M.d. NPPES

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

DR. VINAY KAPOOR M.D. (NPI 1952491698) is an individual endocrinology, diabetes & metabolism provider in Bayside, New York, licensed in New York (160458) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 7, 2027, and is affiliated with North Shore University Hospital.

NPPES Registry Identity

NPI1952491698
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. VINAY KAPOORCredential: M.D.
Location Address22215 NORTHERN BLVD, STE. LL-BBayside, NY 11361-3603
Mailing Address22215 Northern Blvd, Ste. Ll-bBayside, NY 11361-3603 · (718) 279-4005 · Fax (718) 279-4413
Fax(718) 279-4413
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 20, 2013
NPI 1952491698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 160458
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 160458 (NY)
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 160458 (NY)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 160458 (NY)
22215 NORTHERN BLVD, Bayside, NY 11361

Other Names 1

Other Name (5)Dr. Vinay Kapoor M.d.

Other Identifiers 13

Other12396PNY · Hip
Other000000082704NY · Ghi Hmo
Medicare ID-Type Unspecified78521NY
Medicaid01124854NY
Other0538972022NY · Cigna
Other4462972NY · Aetna
Other84D751NY · Bc/bs
OtherDP364NY · Oxford
Other0078521NY · Ghi Ppo
Other168684NY · Elderplan
Medicare UPINB58755NY
Other82704NY · Ghi Medicare
OtherNZ1792NY · Healthnet

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. Vinay 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 ID2264472653
PECOS Enrollment IDI20050504001242
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0880194

Vinay Kapoor MD · Bayside, NY
Active · expires Dec 7, 2027
CLIA Number33D0880194
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorVinay Kapoor MD
Laboratory Phone(718) 279-4005
Laboratory LocationVinay Kapoor MD22215 Northern Blvd #llb, Bayside, NY 11361
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,060 services473 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
1,037 services382 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.
1,012 services389 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.
505 services294 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
100 services92 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.
55 services55 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Flushing Hospital Medical Center

Acute Care Hospitals · Flushing, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330193
Location45th Avenue And Parsons BoulevardFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11361 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.52
Promoting Interoperability78
Improvement Activities40
Cost44.46

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers18 claims234 services$18.27 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers18 claims570 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
72 suppliers270 claims954 services$6.05 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
7 suppliers20 claims20 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
37 suppliers106 claims219 services$1.07 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$30.49 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.

Occupational Therapist
22215 NORTHERN BLVD, SUITE LLC
BAYSIDE, NY 11361
Physical Therapist
22215 NORTHERN BLVD
BAYSIDE, NY 11361
Physical Therapist
22215 NORTHERN BLVD, SUITE LLC
BAYSIDE, NY 11361
Physical Therapist
22215 NORTHERN BLVD, SUITE LLC
BAYSIDE, NY 11361
Case Management
22215 NORTHERN BLVD
BAYSIDE, NY 11361
Home Health
22215 NORTHERN BLVD, 3RD FLOOR
BAYSIDE, NY 11361
Physical Therapy Assistant
22215 NORTHERN BLVD
BAYSIDE, NY 11361
Licensed Practical Nurse
22215 NORTHERN BLVD
BAYSIDE, NY 11361

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 Vinay Kapoor's NPI number?

The NPI number for Vinay Kapoor is 1952491698. It was assigned to this individual provider in the NPPES registry on October 13, 2006. The provider is also known as Dr. Vinay Kapoor M.D..

Where is Vinay Kapoor located?

Vinay Kapoor practices at 22215 Northern Blvd Ste. Ll-B, Bayside, NY 11361. The listed phone number is (718) 279-4005.

What is Vinay Kapoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Vinay Kapoor enrolled in Medicare?

Yes. Vinay 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.

Does Vinay Kapoor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0880194) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Vinay Kapoor affiliated with any hospitals?

According to CMS data, Vinay Kapoor is affiliated with North Shore University Hospital, St Francis Hospital - The Heart Center and Flushing Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Vinay Kapoor was last updated on February 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.