Dr Gaurav Kapoor, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Coal City, Illinois. His current practice location is
5775 E State Route 113, Coal City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 634-0100.
Dr Gaurav Kapoor is licensed to practice in Illinois (license number 036118921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245225192.
Physician's Profile
| Full Name | Dr Gaurav Kapoor |
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| Gender | Male |
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| Speciality | Internal Medicine - Interventional Cardiology |
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| Location | 5775 E State Route 113, Coal City, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245225192
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 10/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800869322
- Enrollment ID: I20071005000561
Medical Identifiers
Medical identifiers for Dr Gaurav Kapoor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245225192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0011X | Internal Medicine - Interventional Cardiology | 036118921 (Illinois) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036118921 (Illinois) | Secondary |
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 Gaurav Kapoor allows following entities to bill medicare on his behalf.
| Entity Name | Specialty Physicians Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124075676
PECOS PAC ID: 4183529456
Enrollment ID: O20031201000602 |
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| Entity Name | Presence Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932216819
PECOS PAC ID: 2860396769
Enrollment ID: O20050215000965 |
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| Entity Name | Presence Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356727127
PECOS PAC ID: 2860396769
Enrollment ID: O20150810001673 |
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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 Gaurav 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 Address | Practice Location Address |
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Dr Gaurav Kapoor, MD
1710 W Court St,
Kankakee, IL 60901-3160
Ph: (815) 936-3200 | Dr Gaurav Kapoor, MD
5775 E State Route 113,
Coal City, IL 60416-7111
Ph: (815) 634-0100 |
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