NPIMap

Individual provider Active NPI

Sandeep Kapoor, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1043264641
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35485 Issued in KY
Practice address
2109 Club Vista PL
Business Office
Louisville, KY 40245-5224
Phone
(502) 530-0916
Fax
(502) 719-1124
NPI assigned
May 19, 2006
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35485 KY Primary

Addresses

Primary practice location

2109 Club Vista PL
Business Office
Louisville, KY 40245-5224

Mailing address

PO Box 43896
Louisville, KY 40253-0896
Phone (502) 523-0719

Other identifiers 1

IdentifierTypeStateIssuer
64018518MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100422000463 KY Practitioner - Internal Medicine 9638206683 Reassigns benefits to 3 organizations
I20200129000074 IN Practitioner - Internal Medicine 9638206683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Kapoor PLLCGroup PAC ID 6305221334, 3 clinicians

Practice addresses (Care Compare)

1612 Blackiston View Dr
Clarksville, IN 47129-2013
Phone (812) 924-7547

2109 Club Vista PL
Louisville, KY 40245-5224
Phone (502) 602-4620

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Jan 15, 2026 Accepting new patients
S Kapoor PLLC Internal Medicine CurrentSince May 11, 2022 Accepting new patients
Bedford Ky Opco LLC Past Accepting new patients
Clifton Oaks Care and Rehab Center, LLC Past Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine Past Accepting new patients
CV Louisville Opco I, LLC Past Accepting new patients
Sangeeta Kapoor, PLLC Internal Medicine Past Accepting new patients
Cherokee Park Rehabilitation, LLC Past Accepting new patients
Green Hill Rehab and Care, LLC Past Accepting new patients
Clifton Heights, LLC Past Accepting new patients
Green River Trails, LLC Past Accepting new patients
Jeffersontown Opco, LLC Past Accepting new patients
Lyndon Woods Care & Rehab, LLC Past Accepting new patients
Leitchfield Ky Opco LLC Past Accepting new patients
Lyndon Crossing, LLC Past Accepting new patients
Sunrise Recovery LLC PastSince Jul 19, 2018 Accepting new patients
Shelbyville Ky Opco LLC Past Accepting new patients

Locations

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherokee Park RehabilitationLouisville, KY, CCN 185237 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jan 1, 2022
Jan 1, 2022
Jan 1, 2022
Jeffersontown RehabilitationJeffersontown, KY, CCN 185268 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Sep 1, 2025
Sep 1, 2025
Sep 1, 2025
Spring View Nursing & RehabilitationLeitchfield, KY, CCN 185309 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Oct 1, 2025
Oct 1, 2025
Bedford Springs Health and RehabilitationBedford, KY, CCN 185358 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jun 23, 2026
Jun 23, 2026
Jun 23, 2026
Crestview Healthcare and RehabilitationShelbyville, KY, CCN 185409 Skilled nursing facility Contracted Managing Employee Apr 1, 2023
Clifton HeightsLouisville, KY, CCN 185176 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2024
Jul 23, 2025
Lyndon CrossingLouisville, KY, CCN 185165 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2024
Dec 13, 2024
Green River TrailsGreensburg, KY, CCN 185257 Skilled nursing facility Adp of the SNF Jul 23, 2025

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 9

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1043264641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43896",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530896",
            "telephone_number": "502-523-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CLUB VISTA PL",
            "address_2": "BUSINESS OFFICE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455224",
            "telephone_number": "502-530-0916",
            "fax_number": "502-719-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "SANDEEP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64018518",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.