Bardev Kapila, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

1074831 Issued in NY

Practice address

40 Hurley Ave
Ste 15
Kingston, NY 12401

Phone

(845) 338-1825

Fax

(845) 338-5114

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1013930049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 15",
            "address_2": "PO BOX 3600",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12402",
            "telephone_number": "845-338-1825",
            "fax_number": "845-338-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "address_2": "STE 15",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-338-1825",
            "fax_number": "845-338-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPILA",
        "first_name": "BARDEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "1074831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "047001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00554687",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "528065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarena Kanner
• Nancy Kantor, LMSW
• Niki E. Kantrowitz, M.D.
• Dawn Kanuch
• Amy Kapes, LMSW
• Zachary Alexander Kapotes, D.M.D.
• Roya Karbakhsh, MD
• Kari E Hoyt (Bodease)
• Susan Karlson-Burt, RN
• Debra Karnasiewicz, MD

• Otolaryngology Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.