Individual provider Active NPI

Gaurav Kapoor, MD

  • Interventional Cardiology Physician
  • Coal City, IL
National Provider Identifier
1245225192
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036118921 Issued in IL
Practice address
5775 E State Route 113
Coal City, IL 60416-7111
Phone
(815) 634-0100
Fax
(815) 634-2900
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036118921 IL
Cardiovascular Disease Physician 207RC0000X 01094047A IN
Interventional Cardiology Physician 207RI0011X 01094047A IN
Interventional Cardiology Physician 207RI0011X 036118921 IL Primary

Addresses

Primary practice location

5775 E State Route 113
Coal City, IL 60416-7111

Mailing address

1710 W Court St
Kankakee, IL 60901-3160
Phone (815) 936-3200

Other practice location 1

500 N Wall St
Kankakee, IL 60901-2942
Phone (844) 404-4787

Other practice location 2

3500 Franciscan Way STE 400
Michigan City, IN 46360-0033
Phone (219) 878-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071005000561 IL Practitioner - Cardiovascular Disease (Cardiology) 6800869322 Reassigns benefits to 3 organizations
I20260102002415 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6800869322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

350 N Wall St 4TH Floor
Kankakee, IL 60901-2901
Phone 81593316714592

3500 Franciscan Way
Suite 400
Michigan City, IN 46360-0033
Phone (219) 878-8200

5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
  • Iroquois Memorial Hospital Hospital, Watseka, IL, CCN 141353
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036118921ILMDCardiovascular Disease Physician
01094047AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 5, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Dec 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 24, 2025 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 5, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Dec 1, 2025 Accepting new patients
Riverside Health System CurrentSince Aug 27, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
New Mexico Heart Institute, LLC Cardiovascular Disease Past Accepting new patients

Locations

210 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 663-5050

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

35318 Eagle Way
Chicago, IL 60678

5775 E State Route 113
Coal City, IL 60416
Phone (815) 634-0100

375 N Wall St
Ste 310
Kankakee, IL 60901
Phone (815) 936-3240

500 N Wall St
Kankakee, IL 60901
Phone (815) 937-9300

375 N Wall St
#310
Kankakee, IL 60901
Phone (815) 936-3240

400 N Wall St
Ste 304
Kankakee, IL 60901
Phone (815) 932-6400

3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

3500 Franciscan Way
Ste 400
Michigan City, IN 46360
Phone (219) 878-8200

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: gkapoor608649@direct.franciscanalliance.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1245225192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013160",
            "telephone_number": "815-936-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 E STATE ROUTE 113",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604167111",
            "telephone_number": "815-634-0100",
            "fax_number": "815-634-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Wall St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609012942",
            "country_code": "US",
            "telephone_number": "844-404-4787",
            "fax_number": "815-936-3243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Franciscan Way STE 400",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463600033",
            "country_code": "US",
            "telephone_number": "219-878-8200",
            "fax_number": "219-878-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036118921",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01094047A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01094047A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036118921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal City, IL

Sources for this page

Verify at the official NPI Registry.