PRANAV KAPOOR MD
NPI 1972868198
Family Medicine in Hartford, CT

Active since July 13, 2012PECOS Enrolled
675 TOWER AVE STE 401, HARTFORD, CT 06112(860) 714-2913(860) 714-8988 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2026, Jan 31, 2020 (2 updates tracked since 2020).

About Pranav Kapoor Md NPPES

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

PRANAV KAPOOR MD (NPI 1972868198) is an individual family medicine provider in Hartford, Connecticut, licensed in Connecticut (55546) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972868198
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePRANAV KAPOORCredential: MD
Location Address675 TOWER AVE STE 401Hartford, CT 06112-1264
Mailing Address95 Woodland St Fl 1Hartford, CT 06105-1230 · (959) 223-3923 · Fax (860) 714-8140
Fax(860) 714-8988
Sole ProprietorNo
Enumeration DateJuly 13, 2012
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1972868198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 55546
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
675 TOWER AVE STE 401, Hartford, CT 06112

Secondary Practice Locations 2

Location 121 Woodland St Ste 311Hartford, CT 06105-4318 · Phone (860) 527-6745 · Fax (860) 293-2021
Location 2580 Cottage Grove Rd Ste 107Bloomfield, CT 06002-3088 · Phone (860) 243-8709 · Fax (860) 243-8259

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Pranav Kapoor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
95 WOODLAND ST FL 1
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 45 clinicians in this Medicare group
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
Primary Care
399 FARMINGTON AVE STE 270
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
35 services34 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
33 services32 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
31 services30 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.
30 services30 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.
29 services28 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.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06112 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

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
5 suppliers13 claims36 services$6.25 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
1 supplier11 claims11 services$185.12 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

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

Nurse Practitioner (Family)
675 TOWER AVE STE 401
HARTFORD, CT 06112

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 Pranav Kapoor's NPI number?

The NPI number for Pranav Kapoor is 1972868198. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Pranav Kapoor located?

Pranav Kapoor practices at 675 Tower Ave Ste 401, Hartford, CT 06112. The listed phone number is (860) 714-2913.

What is Pranav Kapoor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pranav Kapoor enrolled in Medicare?

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

Which organizations bill Medicare for Pranav Kapoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pranav Kapoor reassigns Medicare benefits to 3 organizations: Collins Medical Associates 2 PC (Hartford, CT), Prohealth Physicians PC (Farmington, CT) and Vera Whole Health Connecticut PC (Farmington, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pranav Kapoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pranav Kapoor accept?

Health plans from Anthem Blue Cross and Blue Shield list Pranav Kapoor 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 Pranav Kapoor was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.