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Naresh K Kapoor, MD

Pediatrics · San Jose

NPI 1659373413

Medicare standing
1 flag on the record
Listed below.
Plans that list them
3
2 carriers
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kapoor’s office at (408) 254-8280 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A35427 · Current

Licensed to practise in California · since 1980 · expires 2028-04-30 · Maharshi Dayanand University P.T. Bhagwat Dayal Sharma Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$0 in 2021

Medicaid paid $0 for 197 billed services this clinician did in 2021, up to 53 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2021
Short return visit (20+ min)197$0
Medicaid work by year
2021197153$0
202063145$0
2019401239$1,474
20182,2822198$1,154
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
Short return visit (20+ min)63$0

2019

Largest Medicaid services in 2019
Short return visit (20+ min)229$1,468
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A172$5

2018

Largest Medicaid services in 2018
Short return visit (20+ min)2,167$1,154
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A115$0

Professional record

NPI
1659373413
Licence
CA A35427California A35427: Current · expires 2028-04-30
More record details
Sole proprietor
Yes
Medicaid ID
CA 00A354270
Taxonomy
Pediatrics (208000000X)
Mailing address
175 N Jackson Ave, Ste # 212, San Jose, CA, 95116
NPI first listed
2005-08-11
NPI last updated
2011-12-20

This is when the NPI record was last certified, not a medical board exam.