Individual provider Active NPI

Kapil Dua, DPM

  • Podiatrist
  • Kansas City, KS
National Provider Identifier
1114176765
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12-00442 Issued in KS
Practice address
8919 Parallel Pkwy Ste 550
Kansas City, KS 66112-1545
Phone
(913) 321-0522
NPI assigned
Sep 18, 2008
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 12-00442 KS Primary

Addresses

Primary practice location

8919 Parallel Pkwy Ste 550
Kansas City, KS 66112-1545

Mailing address

400 E Randolph St Apt 3906
Chicago, IL 60601-5052
Phone (734) 904-1027

Other identifiers 2

IdentifierTypeStateIssuer
203263002OtherILMEDICARE PTAN
0001621735OtherILBCBS NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdua@app-ks.direct.office.nextgen.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629001959 KS Practitioner - Podiatry 3678753563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Podiatrists, PAGroup PAC ID 8426190828, 2 clinicians

Practice addresses (Care Compare)

8919 Parallel Pkwy
Suite 550
Kansas City, KS 66112-1545
Phone (913) 321-0522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions14
Removal of nail tissue1073
Removal or shaving of skin growth161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Podiatrists, P.a. Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Jondelle Jenkins Podiatrist Past Accepting new patients
Clinic 1, LLC PastSince Nov 19, 2017 Accepting new patients

Locations

8919 Parallel Pkwy
Ste 550
Kansas City, KS 66112
Phone (913) 321-0522

3550 S 4th St
Ste 282
Leavenworth, KS 66048
Phone (913) 318-7821

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 3

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1114176765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RANDOLPH ST APT 3906",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015052",
            "telephone_number": "734-904-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 550",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121545",
            "telephone_number": "913-321-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUA",
        "first_name": "KAPIL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "203263002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "0001621735",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdua@app-ks.direct.office.nextgen.com",
            "affiliation": "N",
            "address_1": "8919 Parallel Pkwy Ste 550",
            "city": "Kansas City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "661121545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.