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ATUL KAPILA MD
NPI 1952744294
Internal Medicine - Rheumatology in Raleigh, NC

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
8300 HEALTH PARK STE 211, RALEIGH, NC 27615(919) 769-6100(919) 322-0542 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 13, 2024, Aug 13, 2018, May 3, 2018 (3 updates tracked since 2018).

About Atul Kapila Md NPPES

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

ATUL KAPILA MD (NPI 1952744294) is an individual rheumatology provider in Raleigh, North Carolina, licensed in North Carolina (2018-01125) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2013).

NPPES Registry Identity

NPI1952744294
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameATUL KAPILACredential: MD
Location Address8300 HEALTH PARK STE 211Raleigh, NC 27615-4731
Mailing Address8300 Health Park Ste 211Raleigh, NC 27615-4731 · (919) 769-6100 · Fax (919) 322-0542
Phone(919) 769-6100
Fax(919) 322-0542
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1952744294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NC · 2018-01125
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
8300 HEALTH PARK STE 211, Raleigh, NC 27615
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Atul Kapila Md 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 ID2365744257
PECOS Enrollment IDI20180917001514
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.

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.
84 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERYN ANGEL LORDY PA
Physician Assistant
8300 HEALTH PARK STE 211
RALEIGH, NC 27615
Wake County (919) 803-0028
RALEIGH RHEUMATOLOGY ASSOCIATES PLLC
Internal Medicine (Rheumatology)
8300 HEALTH PARK STE 211
RALEIGH, NC 27615
Wake County (919) 769-6100

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 Atul Kapila's NPI number?

The NPI number for Atul Kapila is 1952744294. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Atul Kapila located?

Atul Kapila practices at 8300 Health Park Ste 211, Raleigh, NC 27615. The listed phone number is (919) 769-6100.

What is Atul Kapila's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Atul Kapila enrolled in Medicare?

Yes. Atul Kapila 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 Atul Kapila accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Atul Kapila 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 Atul Kapila was last updated on June 13, 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.