DR. SIMRAN SHASHI KAPUR (M.D.) – Emergency Medicine Physician, NPI 1255691713

DR. SIMRAN SHASHI KAPUR (M.D.) is a healthcare provider. based in Carbondale, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 51003 (AZ). The NPI Number for DR. SIMRAN SHASHI KAPUR (M.D.) is 1255691713

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SIMRAN SHASHI KAPUR (M.D.)
NPI
1255691713
Phone
(618) 536-6621
Address
305 W JACKSON ST
Enumeration Date
18 May 2012
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203816300
Graduation Year
2011 (15 years ago)
PAC ID
8921247610
Group Practice PAC ID
2264538529
Professional Enrollment ID
I20151020000466
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for DR. SIMRAN SHASHI KAPUR (M.D.)

  • 305 W JACKSON ST

    SUITE 200

    CARBONDALE, IL 629011474

    Phone: (618) 536-6621

    Fax: (618) 453-1102

    Type: Mailing

  • 1171 W TARGET RANGE RD

    NOGALES, AZ 856212415

    Phone: (520) 285-8020

    Type: Location

  • 305 W Jackson St

    Suite 200

    Carbondale, IL 629011474

    Phone: (618) 536-6621

    Fax: (618) 453-1102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $294.

Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.

Last reported payment date: 2023-05-03 • Largest payer in this snapshot: Inari Medical, Inc. ($152).

Total Amount

$294

General + Research + Ownership

Payments

3

Total payment records

General Amount

$294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140509001235IEmergency MedicineINTBD
I20151005002899IEmergency MedicineTXTBD
I20151020000466IEmergency MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making190183$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only176150$0
99284Emergency department visit with moderate level of medical decision making4240$0
99291Critical care, first 30-74 minutes3635$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264538529View full group profile
NameSpecialtyState
Emergency MedicineAZ
-AZ
Internal Medicine, Critical Care (Intensivists), Emergency MedicineAZ
Emergency MedicineNM
Emergency MedicineNV
Family Practice, Emergency Medicine, Emergency MedicineMS
Emergency MedicineAZ
Nurse PractitionerAZ
Emergency MedicineSC
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SIMRAN SHASHI KAPUR (M.D.)?
NPI 1255691713 is assigned to DR. SIMRAN SHASHI KAPUR (M.D.) under the national enumeration system.
Is DR. SIMRAN SHASHI KAPUR (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. SIMRAN SHASHI KAPUR (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. SIMRAN SHASHI KAPUR (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. SIMRAN SHASHI KAPUR (M.D.) practice in Illinois?
You will see Carbondale, Illinois on file for DR. SIMRAN SHASHI KAPUR (M.D.) alongside any extra practice locations.
What if Carbondale, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.