Dr Sumit Kapoor, MD - Medicare Critical Care (intensivists) in Bronx, NY

Dr Sumit Kapoor, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Bronx, New York. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice University Of Pittsburgh Physicians and his current practice location is 1400 Pelham Pkwy S, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 918-5640.

Dr Sumit Kapoor is licensed to practice in New York (license number 272091) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1427322478.

Contact Information

Dr Sumit Kapoor, MD
1400 Pelham Pkwy S,
Bronx, NY 10461-1138
(718) 918-5640
Not Available

Map and Direction




Physician's Profile

Full NameDr Sumit Kapoor
GenderMale
SpecialityCritical Care (intensivists)
Experience18 Years
Location1400 Pelham Pkwy S, Bronx, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sumit Kapoor graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1427322478
  • Provider Enumeration Date: 03/07/2012
  • Last Update Date: 07/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254573710
  • Enrollment ID: I20220701000081

Medical Identifiers

Medical identifiers for Dr Sumit Kapoor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427322478NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 051715 (Connecticut)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 272091 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upmc MercyPittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Pittsburgh Physicians87299902393721

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sumit Kapoor allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sumit Kapoor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sumit Kapoor, MD
200 Lothrop St,
Pittsburgh, PA 15213-2536

Ph: (412) 647-2345
Dr Sumit Kapoor, MD
1400 Pelham Pkwy S,
Bronx, NY 10461-1138

Ph: (718) 918-5640

Reviews and Comments


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Benjamin Tuttle Hayes, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.