Monica Kapoor, MD
NPI 1407012818 · Emergency Medicine Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Kapoor, MD is a Emergency Medicine Physician provider in Worcester, MA (NPI 1407012818).
Provider details
- NPI number
- 1407012818
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 278715 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
549 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 112 | $171 |
| Ultrasound of Heart, Follow-Up93308 | 101 | $24 |
| Ultrasound Scan of Chest76604 | 96 | $26 |
| Limited Ultrasound Scan of Abdomen76705 | 71 | $27 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 68 | $118 |
| Critical Care, First 30-74 Minutes99291 | 35 | $209 |
Practice location
Mailing address
Additional practice locations (3)
- 201 Highland StClinton, MA 01510-1037Phone: (508) 421-1400Fax: (508) 421-1490
- 157 Union StMarlborough, MA 01752-1228Phone: (508) 421-1400Fax: (508) 421-1490
- 119 Belmont StWorcester, MA 01605-2903Phone: (508) 421-1400Fax: (508) 421-1490
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2020-11-22
- Certified
- 2020-11-22
Frequently asked questions
- What is Monica Kapoor's NPI number?
- Monica Kapoor's National Provider Identifier (NPI) is 1407012818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Kapoor's specialty?
- Monica Kapoor is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Monica Kapoor located?
- Monica Kapoor's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Monica Kapoor's phone number?
- The practice phone number listed in the NPPES registry for Monica Kapoor is (508) 421-1400.
- Does Monica Kapoor accept Medicare?
- Monica Kapoor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Kapoor's NPI active?
- Yes — Monica Kapoor's NPI (1407012818) is active in the NPPES registry as of the last update on 2020-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.