Active NPI
Madhav R Kapila
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101026668
- Practice address
- 22201 Moross Rd Ste 50
Detroit, MI 48236-2166 - Phone
- (313) 343-7774
- Fax
- (313) 343-8747
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101026668 | MI | Primary |
Addresses
Primary practice location
22201 Moross Rd Ste 50
Detroit, MI 48236-2166
Mailing address
22201 Moross Rd Ste 50
Detroit, MI 48236-2166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Internal Medicine | Current | Accepting new patients |
| Pathology Specialists of Southeast Michigan PC | Current | Accepting new patients | |
| Procare Partners Health PLLC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
19251 Mack Ave
Ste 333
Grosse Pointe Woods, MI 48236
Phone (313) 343-7280
22201 Moross Rd
Ste 50
Grosse Pointe Woods, MI 48236
Phone (313) 343-7774
3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286
2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400
11885 E 12 Mile Rd
Ste 200B
Warren, MI 48093
Phone (586) 576-4145
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1023100500
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1104389675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22201 MOROSS RD STE 50",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22201 MOROSS RD STE 50",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362166",
"telephone_number": "313-343-7774",
"fax_number": "313-343-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPILA",
"first_name": "MADHAV",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101026668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.