NIDHI KAPOOR (M.D.) – Emergency Medicine Physician, NPI 1912972324
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
439 EMERGENCY MEDICINE in RI
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Provider Addresses for NIDHI KAPOOR (M.D.)
506, Morris Avenue, Blackstone, Providence, Providence County, Rhode Island, 02906, United States
PROVIDENCE, RI 029063531
Phone: (401) 270-3998
Type: Mailing
Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States
55 CLAVERICK 2ND FLOOR
PROVIDENCE, RI 029034923
Phone: (401) 444-5210
Fax: (401) 444-2307
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090202000456 | I | Emergency Medicine | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 295 | 283 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 133 | 129 | $0 |
| 99291 | Critical care, first 30-74 minutes | 63 | 61 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 51 | 50 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 02906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | HI | |
| Emergency Medicine | NY | |
| P S Y C H I A T R Y | MA | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine | MA | |
| Occupational Therapist In Private Practice | MA | |
| P S Y C H I A T R Y | MA | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Internal Medicine | MA |
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