Individual provider Active NPI

Mohit Kapoor, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Fairfax, VA
National Provider Identifier
1114906773
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
0101252236 Issued in VA
Practice address
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone
(703) 391-3600
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101252236 VA
Nephrology Physician 207RN0300X MD204247 LA
Nephrology Physician 207RN0300X MD466948 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101252236 VA Primary
Internal Medicine Physician 207R00000X MD466948 PA
Internal Medicine Physician 207R00000X MD204247 LA
Internal Medicine Physician 207R00000X 0101252236 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD204247 LA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD466948 PA

Addresses

Primary practice location

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Mailing address

9121 Bowling Green Dr
Frederick, MD 21704-7364
Phone (301) 668-2088

Other practice location 1

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 339-2760

Other identifiers 1

IdentifierTypeStateIssuer
2134761MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, WV, PA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20080806000225 MD Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Nephrology 9739253907 Reassigns benefits to 1 organization
I20081104000560 DC Practitioner - Critical Care (Intensivists) 9739253907 Reassigns benefits to 1 organization
I20120720000373 VA Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 9739253907 Reassigns benefits to 1 organization
I20180405001721 WV Practitioner - Internal Medicine 9739253907
I20191108002169 PA Practitioner - NephrologyPractitioner - Internal Medicine 9739253907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 339-2760

3300 Gallows Rd
Falls Church, VA 22042-3307

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Hospital & facility affiliations

  • DaVita Hanover Dialysis Dialysis facility, Hanover, PA, CCN 392839
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101252236VAMDCritical Care Medicine (Internal Medicine) Physician
MD204247LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 17, 2019 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Jul 30, 2012 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Sep 8, 2015 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Inova Health Care Services CurrentSince Jul 30, 2012 Accepting new patients
Nephrology Medical Associates of Georgia LLC Nephrology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Southern Maryland Intensive Care, Inc. Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: mkapoor183990@wellspan.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1114906773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 BOWLING GREEN DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047364",
            "telephone_number": "301-668-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-339-2760",
            "fax_number": "717-630-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "MOHIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101252236",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD204247",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD466948",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101252236",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD466948",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD204247",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101252236",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "MD204247",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD466948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.