Sushma Kapoor, M.D.
NPI 1497804421 · Family Medicine Physician · Fayetteville, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushma Kapoor, M.D. is a Family Medicine Physician provider in Fayetteville, NC (NPI 1497804421).
Provider details
- NPI number
- 1497804421
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 28101 (SC)
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
19 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
472 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 157 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 109 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $84 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 32 | $13 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 30 | $10 |
| Hemoglobin A1c Level |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 71 | 12 |
| Amlodipine Besylate | 54 | 15 |
| Omeprazole | 44 | — |
| Gabapentin | 41 | — |
| Metformin Hcl | 35 | — |
| Metoprolol Succinate | 33 | — |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2014-02-04
Frequently asked questions
- What is Sushma Kapoor's NPI number?
- Sushma Kapoor's National Provider Identifier (NPI) is 1497804421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushma Kapoor's specialty?
- Sushma Kapoor is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sushma Kapoor located?
- Sushma Kapoor's practice location on file with NPPES is 1601 Owen Dr, Fayetteville, NC 28304-3425.
- What is Sushma Kapoor's phone number?
- The practice phone number listed in the NPPES registry for Sushma Kapoor is (910) 678-0100.
- Does Sushma Kapoor accept Medicare?
- Sushma Kapoor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushma Kapoor's NPI active?
- Yes — Sushma Kapoor's NPI (1497804421) is active in the NPPES registry as of the last update on 2014-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.