Monica Kapoor, MD - Medicare Emergency Medicine in Worcester, MA

Monica Kapoor, MD is a medicare enrolled "Emergency Medicine" physician in Worcester, Massachusetts. She went to University Of Massachusetts Medical School and graduated in 2006 and has 18 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Umass Memorial Medical Group Inc and her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 421-1400.

Monica Kapoor is licensed to practice in Massachusetts (license number 278715) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407012818.

Contact Information

Monica Kapoor, MD
55 Lake Ave N,
Worcester, MA 01655-0002
(508) 421-1400
(508) 421-1490

Map and Direction




Physician's Profile

Full NameMonica Kapoor
GenderFemale
SpecialityEmergency Medicine
Experience18 Years
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Monica Kapoor attended and graduated from University Of Massachusetts Medical School in 2006
  NPI Data:
  • NPI Number: 1407012818
  • Provider Enumeration Date: 08/05/2008
  • Last Update Date: 11/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698812857
  • Enrollment ID: I20190726001765

Medical Identifiers

Medical identifiers for Monica Kapoor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407012818NPI-NPPES
110150066AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 278715 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital
Umass Memorial Healthcare-marlborough HospitalMarlborough, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911898

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. Monica Kapoor allows following entities to bill medicare on her behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

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. Monica Kapoor 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
Monica Kapoor, MD
Po Box 415348,
Boston, MA 02241-5348

Ph: () -
Monica Kapoor, MD
55 Lake Ave N,
Worcester, MA 01655-0002

Ph: (508) 421-1400

Reviews and Comments


Emergency Medicine Doctors in Worcester, MA

Hillary R. Irons, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-421-1400    Fax: 508-421-1490
Dr. Thomas Evans, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605
Phone: 508-334-8015    
Romolo J. Gaspari, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-421-1400    Fax: 508-421-1490
Alexander Hart, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Roderick Cross, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Austin Tam, MD, SCM
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-5000    
Robert Brewer, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605
Phone: 508-421-1439    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.