Dr Tolga Kapusuz, MD - Medicare Anesthesiology in South Plainfield, NJ

Dr Tolga Kapusuz, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in South Plainfield, New Jersey. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Northern Valley Anesthesiology Pa and his current practice location is 285 Durham Ave Ste 1a, South Plainfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 338-0228.

Dr Tolga Kapusuz is licensed to practice in New York (license number 225264) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1316919004.

Contact Information

Dr Tolga Kapusuz, MD
285 Durham Ave Ste 1a,
South Plainfield, NJ 07080-2555
(732) 338-0228
(908) 941-5963

Map and Direction




Physician's Profile

Full NameDr Tolga Kapusuz
GenderMale
SpecialityAnesthesiology
Experience32 Years
Location285 Durham Ave Ste 1a, South Plainfield, New Jersey
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tolga Kapusuz graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1316919004
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 10/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9234161118
  • Enrollment ID: I20060118000032

Medical Identifiers

Medical identifiers for Dr Tolga Kapusuz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316919004NPI-NPPES
02374252MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 225264-1 (New York)Secondary
208VP0000XPain Medicine - Pain Medicine 225264 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Englewood Hospital And Medical CenterEnglewood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Valley Anesthesiology Pa0749194868165

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tolga Kapusuz allows following entities to bill medicare on his behalf.
Entity NameNorthern Valley Anesthesiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245289487
PECOS PAC ID: 0749194868
Enrollment ID: O20031113000519
Entity NameBct Medical Associates.llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184036717
PECOS PAC ID: 3779867957
Enrollment ID: O20170307002354

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tolga Kapusuz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tolga Kapusuz, MD
285 Durham Ave Ste 1a,
South Plainfield, NJ 07080-2555

Ph: (732) 338-0228
Dr Tolga Kapusuz, MD
285 Durham Ave Ste 1a,
South Plainfield, NJ 07080-2555

Ph: (732) 338-0228

Reviews and Comments


Pain Medicine Doctors in South Plainfield, NJ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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