Active NPI
Kent S Kapitan, M.D.
- Pulmonary Disease Physician
- Springfield, IL
National Provider Identifier
1194713958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036112857
- Practice address
- 751 N Rutledge St
RM 0300
Springfield, IL 62702-4968 - Phone
- (217) 545-5864
- Fax
- (217) 545-4734
- NPI assigned
- Oct 6, 2005
- Last updated
- Jul 22, 2010
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036112857 | IL | Primary |
Addresses
Primary practice location
751 N Rutledge St
RM 0300
Springfield, IL 62702-4968
Mailing address
PO Box 19636
Springfield, IL 62794-9636
Phone (217) 545-0187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112857 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients | |
| Kansas City Pulmonary Clinic PA | Pulmonary Disease | Past | Accepting new patients |
| RMC HBP, LLC | Pulmonary Disease | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Springfield, IL
- NPI 1285657379
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1295792224
Pulmonary Disease
-
dba dba: RMC Pulmonary Physicians
- Pulmonary Disease Physician
- Kansas City, MO
- NPI 1508855602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1194713958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19636",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949636",
"telephone_number": "217-545-0187",
"fax_number": "217-788-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N RUTLEDGE ST",
"address_2": "RM 0300",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024968",
"telephone_number": "217-545-5864",
"fax_number": "217-545-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPITAN",
"first_name": "KENT",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036112857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112857",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.