Sunil Kapur, M.D.
NPI 1235168048 · Gastroenterology Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunil Kapur, M.D. is a Gastroenterology Physician provider in Milwaukee, WI (NPI 1235168048).
Provider details
- NPI number
- 1235168048
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 44392 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
355 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 131 | $141 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 75 | $79 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 46 | $221 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 31 | $73 |
| Injection Beneath Lining of Large Bowel Using a Flexible Endoscope45381 | 22 | $14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 709 | 673 |
| Pantoprazole Sodium | 114 | 49 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Gavilyte-N | 24 | 24 |
| Omeprazole | 22 | 12 |
| Linaclotidebrand: Linzess | 19 | — |
| Mesalamine | 16 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,328 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Sunil Kapur's NPI number?
- Sunil Kapur's National Provider Identifier (NPI) is 1235168048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunil Kapur's specialty?
- Sunil Kapur is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Sunil Kapur located?
- Sunil Kapur's practice location on file with NPPES is 3003 W Good Hope Rd, Milwaukee, WI 53209-2042.
- What is Sunil Kapur's phone number?
- The practice phone number listed in the NPPES registry for Sunil Kapur is (414) 352-3100.
- Does Sunil Kapur accept Medicare?
- Sunil Kapur is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunil Kapur's NPI active?
- Yes — Sunil Kapur's NPI (1235168048) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.