Individual provider Active NPI

Gaurav Kapur, MD

  • Pediatric Nephrology Physician
  • Detroit, MI
National Provider Identifier
1093994576
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
4301081195 Issued in MI
Practice address
3901 Beaubien St
Detroit, MI 48201-2119
Phone
(313) 745-5604
NPI assigned
Oct 31, 2007
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301081195 MI
Pediatric Nephrology Physician 2080P0210X 4301081195 MI Primary

Addresses

Primary practice location

3901 Beaubien St
Detroit, MI 48201-2119

Mailing address

4201 St Antoine - Uhc 5D Mailbox 226
University Pediatricians
Detroit, MI 48201-2153
Phone (313) 745-4405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080225000568 MI Practitioner - NephrologyPractitioner - Pediatric Medicine 9739263187 Reassigns benefits to 2 organizations
I20241009002784 MO Practitioner - Nephrology 9739263187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University PediatriciansGroup PAC ID 9638070568, 121 clinicians

Practice addresses (Care Compare)

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians CurrentSince Feb 1, 2008 Accepting new patients
University Pediatricians Pediatrics CurrentSince Feb 1, 2008 Accepting new patients
SSM Health Care Group Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
Hurley Medical Center CurrentSince Jul 1, 2010 Accepting new patients
University Pediatricians Pediatrics Current Accepting new patients
Hurley Medical Center Pediatrics CurrentSince Jul 1, 2010 Accepting new patients
SSM Health Care Group CurrentSince Oct 1, 2024 Accepting new patients
Hurley Medical Center Current Accepting new patients
VHS Childrens Hospital of Michigan Inc Past Accepting new patients

Locations

36880 Woodward Ave
Ste 203
Bloomfld Hls, MI 48304
Phone (248) 269-4100

42700 Garfield Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 532-3401

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Fl 2
Detroit, MI 48201
Phone (313) 745-0659

3950 Beaubien St
Fl 3
Detroit, MI 48201
Phone (313) 832-8550

4201 Saint Antoine St
Ste 226
Detroit, MI 48201
Phone (313) 966-2064

300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

806 Tuuri Pl
Flint, MI 48503
Phone (810) 237-7572

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

Interoperability endpoints

  • Direct secure messaging: gkapur@direct.dmc.org
  • Direct secure messaging: gkapur4124@direct.hurleymc.com

Organizations & group practices 9

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1093994576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST ANTOINE - UHC 5D MAILBOX 226",
            "address_2": "UNIVERSITY PEDIATRICIANS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUR",
        "first_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301081195",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "MI",
            "license": "4301081195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.