Dr Rahul Kapoor, MD - Medicare Ophthalmology in Springfield, IL

Dr Rahul Kapoor, MD is a medicare enrolled "Ophthalmology" physician in Springfield, Illinois. His current practice location is 1025 S 6th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Dr Rahul Kapoor is licensed to practice in Illinois (license number 036166415) 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 1972166510.

Contact Information

Dr Rahul Kapoor, MD
1025 S 6th St,
Springfield, IL 62703-2499
(217) 528-7541
Not Available

Map and Direction




Physician's Profile

Full NameDr Rahul Kapoor
GenderMale
SpecialityOphthalmology
Location1025 S 6th St, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972166510
  • Provider Enumeration Date: 04/18/2019
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274861810
  • Enrollment ID: I20231109002038

Medical Identifiers

Medical identifiers for Dr Rahul Kapoor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972166510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 036166415 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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 Rahul Kapoor allows following entities to bill medicare on his behalf.
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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 Rahul 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 Rahul Kapoor, MD
Po Box 19248,
Springfield, IL 62794-9248

Ph: (217) 528-7541
Dr Rahul Kapoor, MD
1025 S 6th St,
Springfield, IL 62703-2499

Ph: (217) 528-7541

Reviews and Comments


Ophthalmology Doctors in Springfield, IL

Susan Strow Stegeman, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1025 S 6th St, Springfield, IL 62703
Phone: 217-528-7541    
Dr. Stuart Farris, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 2020 W Iles Ave, Springfield, IL 62704
Phone: 217-698-3030    Fax: 217-698-3068
Dr. Randal J. Peterson, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 S 6th St, Springfield, IL 62703
Phone: 217-528-7541    
David B. Krah, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1025 S 6th St, Springfield, IL 62703
Phone: 217-528-7541    
Dr. Ramanath Bhandari, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 S 6th St, Springfield, IL 62703
Phone: 217-528-7541    
Ashley Abraham, M.D.
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 400 N 9th St Fl 3, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-2303
Patrick J. Butler, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711
Phone: 217-547-9100    Fax: 217-547-9263

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.