Kapil Dhawan, M.D.
NPI 1558385997 · Critical Care Medicine (Internal Medicine) Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kapil Dhawan, M.D. is a Critical Care Medicine (Internal Medicine) Physician provider in Sacramento, CA (NPI 1558385997).
Provider details
- NPI number
- 1558385997
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A116493 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
773 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 373 | $214 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 146 | $123 |
| Sleep Study Including Heart Rate, Breathing, Airflow, and Effort95806 | 57 | $98 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 42 | $137 |
| Critical Care, Each Additional 30 Minutes99292 | 42 | $110 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 | 30 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphet Er | 17 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 14 |
| Zolpidem Tartratebrand: Zolpidem Tartrate Er | 13 |
| Methadone Hcl | 12 |
| Fluticasone Propionate | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$319 across 9 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
- 2006-07-27
- Last updated
- 2020-10-19
- Certified
- 2020-10-19
Frequently asked questions
- What is Kapil Dhawan's NPI number?
- Kapil Dhawan's National Provider Identifier (NPI) is 1558385997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kapil Dhawan's specialty?
- Kapil Dhawan is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Kapil Dhawan located?
- Kapil Dhawan's practice location on file with NPPES is 1508 Alhambra Blvd Ste 200, Sacramento, CA 95816-6510.
- What is Kapil Dhawan's phone number?
- The practice phone number listed in the NPPES registry for Kapil Dhawan is (916) 325-1040.
- Does Kapil Dhawan accept Medicare?
- Kapil Dhawan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kapil Dhawan's NPI active?
- Yes — Kapil Dhawan's NPI (1558385997) is active in the NPPES registry as of the last update on 2020-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.