Individual provider Active NPI

Ameeta Kapu, MD

  • Obstetrics & Gynecology Physician
  • Abilene, TX
National Provider Identifier
1023024742
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K0500 Issued in TX
Practice address
1850 Hickory St
Abilene, TX 79601-2325
Phone
(325) 670-3970
Fax
(325) 670-3979
NPI assigned
Aug 1, 2006
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K0500 TX
Obstetrics & Gynecology Physician 207V00000X K0500 TX Primary

Addresses

Primary practice location

1850 Hickory St
Abilene, TX 79601-2325

Mailing address

1904 Pine St Ste 4a
Abilene, TX 79601-2450
Phone (325) 670-4020

Other practice location 1

1904 Pine St Ste 4A
Abilene, TX 79601-2450
Phone (325) 670-4020

Other identifiers 3

IdentifierTypeStateIssuer
752768101OtherTXTAXPAYER ID
0014CUOtherTXBCBS PROVIDER NUMBER
030980901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120410000044 TX Practitioner - Obstetrics/Gynecology 7214957778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1904 Pine St
Suite 4a
Abilene, TX 79601-2450
Phone (325) 437-4020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0500TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 21, 2021 Accepting new patients
Advanced Women's Healthcare, P.a. Obstetrics & Gynecology CurrentSince Dec 1, 2023 Accepting new patients
Hendrick Provider Network CurrentSince Nov 1, 2021 Accepting new patients
Hendrick Provider Network Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
Hendrick Medical Center Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1680 Antilley Rd
Ste 125
Abilene, TX 79606
Phone (325) 428-5580

1850 Hickory St
Abilene, TX 79601
Phone (325) 670-3970

1850 Hickory St
Ste 200C
Abilene, TX 79601
Phone (325) 670-3970

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

12201 Merit Dr
Ste 350
Dallas, TX 75251
Phone (214) 238-7888

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Interoperability endpoints

  • Direct secure messaging: ameeta.kapu.md.1@21794.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1023024742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PINE ST STE 4A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012450",
            "telephone_number": "325-670-4020",
            "fax_number": "888-437-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012325",
            "telephone_number": "325-670-3970",
            "fax_number": "325-670-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Pine St Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012450",
            "country_code": "US",
            "telephone_number": "325-670-4020",
            "fax_number": "888-437-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPU",
        "first_name": "AMEETA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0500",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K0500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER ID",
            "identifier": "752768101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0014CU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030980901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.