Individual provider Active NPI

Dimpy Kapoor, M.D.

  • Rheumatology Physician
  • Phoenix, AZ
National Provider Identifier
1003826926
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
28711 Issued in AZ
Practice address
9305 W Thomas Rd
Ste 455
Phoenix, AZ 85037-3328
Phone
(623) 399-9010
Fax
(623) 399-9013
NPI assigned
Aug 9, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 28711 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd
Ste 455
Phoenix, AZ 85037-3328

Mailing address

20118 N 67TH Ave
#300 PMB 456
Glendale, AZ 85308-4621
Phone (623) 399-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050909000339 AZ Practitioner - Rheumatology 2466484647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 E Plaza Cir Dr
Suite 3
Litchfield Park, AZ 85340-4909
Phone (623) 399-9010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
South West Rheumatology PC Rheumatology CurrentSince Aug 1, 2005 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 11, 2021 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 11, 2021 Accepting new patients

Locations

20118 N 67th Ave
Ste 300
Glendale, AZ 85308

3000 N Litchfield Rd
Ste 115
Goodyear, AZ 85395
Phone (623) 399-9010

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3801 Santa Rosa Dr
Ste 301
Kingman, AZ 86401
Phone (928) 681-8730

501 E Plaza Circle Dr
Ste 3
Litchfield Pk, AZ 85340
Phone (602) 857-9797

9305 W Thomas Rd
Ste 455
Phoenix, AZ 85037
Phone (480) 809-0550

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1003826926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE",
            "address_2": "#300 PMB 456",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "623-399-9010",
            "fax_number": "623-399-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 455",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-399-9010",
            "fax_number": "623-399-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "DIMPY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "28711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.