Sumit Kapoor, MD
NPI 1427322478 · Critical Care Medicine (Internal Medicine) Physician · Bronx, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumit Kapoor, MD is a Critical Care Medicine (Internal Medicine) Physician provider in Bronx, NY (NPI 1427322478).
Provider details
- NPI number
- 1427322478
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 051715 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
303 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 217 | $73 |
| Critical Care, First 30-74 Minutes99291 | 86 | $185 |
Typical Medicare-allowed amounts for these services range $73–$185 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-07
- Last updated
- 2022-07-07
- Certified
- 2022-07-07
Frequently asked questions
- What is Sumit Kapoor's NPI number?
- Sumit Kapoor's National Provider Identifier (NPI) is 1427322478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumit Kapoor's specialty?
- Sumit Kapoor is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Sumit Kapoor located?
- Sumit Kapoor's practice location on file with NPPES is 1400 Pelham Pkwy S, Bronx, NY 10461-1138.
- What is Sumit Kapoor's phone number?
- The practice phone number listed in the NPPES registry for Sumit Kapoor is (718) 918-5640.
- Does Sumit Kapoor accept Medicare?
- Sumit Kapoor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumit Kapoor's NPI active?
- Yes — Sumit Kapoor's NPI (1427322478) is active in the NPPES registry as of the last update on 2022-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.