DR. RAHUL KAPOOR MD
NPI 1972166510
Ophthalmology in Springfield, IL

Active since April 18, 2019PECOS Enrolled
1025 S 6TH ST, SPRINGFIELD, IL 62703(217) 528-7541 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2024, Nov 17, 2023, Apr 18, 2019 (3 updates tracked since 2019).

About Dr. Rahul Kapoor Md NPPES

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

DR. RAHUL KAPOOR MD (NPI 1972166510) is an individual ophthalmology provider in Springfield, Illinois, licensed in Illinois (036166415) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972166510
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RAHUL KAPOORCredential: MD
Location Address1025 S 6TH STSpringfield, IL 62703-2499
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 18, 2019
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1972166510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036166415
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1025 S 6TH ST, Springfield, IL 62703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rahul Kapoor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274861810
PECOS Enrollment IDI20231109002038
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 9

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
81 services81 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
62 services58 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
55 services55 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
37 services21 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
35 services34 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
28 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Counselor
1025 S 6TH ST
SPRINGFIELD, IL 62703
Anesthesiology
1025 S 6TH ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Nurse Anesthetist, Certified Registered
1025 S 6TH ST
SPRINGFIELD, IL 62703
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Ophthalmology
1025 S 6TH ST
SPRINGFIELD, IL 62703

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 Rahul Kapoor's NPI number?

The NPI number for Rahul Kapoor is 1972166510. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Rahul Kapoor located?

Rahul Kapoor practices at 1025 S 6th St, Springfield, IL 62703. The listed phone number is (217) 528-7541.

What is Rahul Kapoor's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rahul Kapoor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rahul Kapoor was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.