Active NPI
Charanjeev Singh Kapoor, M.D.
- Specialist
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 042717
- Practice address
- 100 Haynes St FL 2
Dequattro Cancer Center
Manchester, CT 06040-4113 - Phone
- (860) 646-0670
- Fax
- (860) 643-9388
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 042717 | CT | Primary |
| Internal Medicine Physician | 207R00000X | 042717 | CT |
Addresses
Primary practice location
100 Haynes St FL 2
Dequattro Cancer Center
Manchester, CT 06040-4113
Mailing address
100 Haynes St FL 2
Dequattro Cancer Center
Manchester, CT 06040-4113
Phone (860) 646-0670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001427170 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Haynes St
FL 2
Manchester, CT 06040-4113
Phone (860) 646-0670
Hospital & facility affiliations
- Greater Manchester Homecare, LLC
- Hartford Healthcare at Home
- Manchester Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.09 of 100
- Quality
- 70.75
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Past | Accepting new patients |
Locations
100 Haynes St
#2
Manchester, CT 06040
Phone (860) 646-0670
345 N Main St
Ste 318
West Hartford, CT 06117
Phone (860) 527-5803
Interoperability endpoints
- https://fhir.prod.flatiron.io/fhir/
Organizations & group practices 3
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.
-
- Medical Oncology Physician
- Manchester, CT
- NPI 1033667845
-
- Hematology & Oncology Physician
- Belleville, NJ
- NPI 1447315502
-
- Hematology & Oncology Physician
- Toms River, NJ
- NPI 1801850243
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Vernon, CT
- NPI 1508736224
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1891754685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HAYNES ST FL 2",
"address_2": "DEQUATTRO CANCER CENTER",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404113",
"telephone_number": "860-646-0670",
"fax_number": "860-643-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HAYNES ST FL 2",
"address_2": "DEQUATTRO CANCER CENTER",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404113",
"telephone_number": "860-646-0670",
"fax_number": "860-643-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPOOR",
"first_name": "CHARANJEEV",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "042717",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "042717",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001427170",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.