Toros Kapoian, MD - Medicare Nephrology in Berkeley Heights, NJ

Toros Kapoian, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Berkeley Heights, New Jersey. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1990 and has 34 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Summit Medical Group Pa and his current practice location is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 277-8649.

Toros Kapoian is licensed to practice in New Jersey (license number 25MA06278700) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083630628.

Contact Information

Toros Kapoian, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
(908) 277-8649
(908) 277-8808

Map and Direction




Physician's Profile

Full NameToros Kapoian
GenderMale
SpecialityNephrology
Experience34 Years
Location1 Diamond Hill Rd, Berkeley Heights, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toros Kapoian attended and graduated from Icahn School Of Medicine At Mount Sinai in 1990
  NPI Data:
  • NPI Number: 1083630628
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 03/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567590185
  • Enrollment ID: I20100503000061

Medical Identifiers

Medical identifiers for Toros Kapoian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083630628NPI-NPPES
390005065OtherNJRR MCR
6615007MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 25MA06278700 (New Jersey)Primary
207RN0300XInternal Medicine - Nephrology MA62787 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dci North Brunswick Dialysis CtrNorth brunswick, NJDialysis facility
Morristown Medical CenterMorristown, NJHospital
Saint Barnabas Medical CenterLivingston, NJHospital
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761247

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. Toros Kapoian allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Toros Kapoian 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
Toros Kapoian, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300
Toros Kapoian, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 277-8649

Reviews and Comments


Internal Medicine Doctors in Berkeley Heights, NJ

Silpa Gadiraju, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-673-7336
Dr. John H Dokko, DO
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-277-8808
Dr. Lawrence J Nastro, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-277-8825
Christopher M Boni, DO
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-277-8683    Fax: 908-608-2378
Dr. Jeffrey Okun, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    
Dr. Michele Elkins, M.D
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1060 Mountain Ave, Berkeley Heights, NJ 07922
Phone: 908-464-6740    
Shruti P Dhorajia, D.O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    

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.