Individual provider Active NPI

Charanjeev Singh Kapoor, M.D.

  • Specialist
  • Manchester, CT
National Provider Identifier
1891754685
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042717 Issued in CT
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

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001427170MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111001072 CT Practitioner - Hematology/Oncology 8426006826 Reassigns benefits to 1 organization

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
Regional Cancer Care Associates LLCGroup PAC ID 5294710091, 148 clinicians

Practice addresses (Care Compare)

100 Haynes St
FL 2
Manchester, CT 06040-4113
Phone (860) 646-0670

Hospital & facility affiliations

  • Greater Manchester Homecare, LLC Hospice, Vernon, CT, CCN 071502
  • Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

Merit-based Incentive Payment System (MIPS)

Final score
91.09 of 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Jan 1, 2016 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Jan 1, 2016 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.