Atul Kapila, MD
NPI 1952744294 · Rheumatology Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Atul Kapila, MD is a Rheumatology Physician provider in Raleigh, NC (NPI 1952744294).
Provider details
- NPI number
- 1952744294
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2018-01125 (NC)
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
13 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
290 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) |
|---|---|---|
| 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 | 115 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 84 | $114 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 36 | $169 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 35 | $206 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 | 20 | $57 |
Typical Medicare-allowed amounts for these services range $15–$206 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 225 | 93 |
| Methotrexate Sodiumbrand: Methotrexate | 172 | 81 |
| Prednisone | 156 | 71 |
| Allopurinol | 89 | 31 |
| Mycophenolate Mofetil | 42 | 13 |
| Gabapentin | 41 | 18 |
| Leflunomide | 32 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,305 across 69 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
- 2013-04-16
- Last updated
- 2024-06-13
- Certified
- 2024-06-04
Frequently asked questions
- What is Atul Kapila's NPI number?
- Atul Kapila's National Provider Identifier (NPI) is 1952744294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Atul Kapila's specialty?
- Atul Kapila is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Atul Kapila located?
- Atul Kapila's practice location on file with NPPES is 8300 Health Park Ste 211, Raleigh, NC 27615-4731.
- What is Atul Kapila's phone number?
- The practice phone number listed in the NPPES registry for Atul Kapila is (919) 769-6100.
- Does Atul Kapila accept Medicare?
- Atul Kapila is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Atul Kapila's NPI active?
- Yes — Atul Kapila's NPI (1952744294) is active in the NPPES registry as of the last update on 2024-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.