Organization Active NPI

University Medical Care, PA

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1023004967
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY MEDICAL CARE, PA
Practice address
471 N Semoran Blvd
Suite a
Winter Park, FL 32792-3803
Phone
(407) 678-5656
Fax
(407) 677-5550
NPI assigned
Sep 26, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Rajan Kapoor, M.D.NPI 1972599801
Title
Medical Doctor
Phone
(407) 678-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X FL Primary

Addresses

Primary practice location

471 N Semoran Blvd
Suite a
Winter Park, FL 32792-3803

Mailing address

471 N Semoran Blvd
Suite a
Winter Park, FL 32792-3803
Phone (407) 678-5656

Other identifiers 2

IdentifierTypeStateIssuer
378531900MedicaidFL
74613OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013000654 FL Part B Supplier - Clinic/Group Practice 4385604479 Receives reassigned benefits from 2 practitioners
Practice locations: Winter Park, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0896682University Medical Care471 N Semoran Blvd #a, Winter Park, FL 32792Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

471 N Semoran Blvd
Ste A
Winter Park, FL 32792
Phone (407) 678-5656

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIGADD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023004967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 N SEMORAN BLVD",
            "address_2": "SUITE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923803",
            "telephone_number": "407-678-5656",
            "fax_number": "407-677-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 N SEMORAN BLVD",
            "address_2": "SUITE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923803",
            "telephone_number": "407-678-5656",
            "fax_number": "407-677-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "407-678-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378531900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "74613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.