NPIMap

Individual provider Active NPI

Anupam Boparai, M.D.

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1225390420
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10042842 Issued in TX
Practice address
1301 3Rd St Ste 200
Wichita Falls, TX 76301-2245
Phone
(940) 767-5145
NPI assigned
Jun 13, 2012
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10042842 TX Primary

Addresses

Primary practice location

1301 3Rd St Ste 200
Wichita Falls, TX 76301-2245

Mailing address

4000 Weeks Park LN Apt 208
Wichita Falls, TX 76308-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141210001082 OK Practitioner - Family Practice 7911229596
I20160407000314 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 7911229596 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siena Emergency Medical Services PCGroup PAC ID 9830257625, 15 clinicians

Practice addresses (Care Compare)

50 Route 25a
Smithtown, NY 11787-1348
Phone (240) 686-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10042842TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 1, 2023 Accepting new patients
Siena Emergency Medical Services, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Divinity Medical Services PLLC CurrentSince Jun 18, 2019 Accepting new patients
Albany Medical College CurrentSince Jun 3, 2024 Accepting new patients
Gloversville Emergency Medicine Services PC CurrentSince Nov 27, 2018 Accepting new patients
Albany Medical College Current Accepting new patients
Island Emergency Medical Services, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Cogent Medical Care PC Family Medicine CurrentSince Feb 13, 2016 Accepting new patients
Port Emergency Medical Services, P.C. CurrentSince Sep 1, 2023 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

365 Broadway
Kingston, NY 12401
Phone (845) 331-5165

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Interoperability endpoints

  • Direct secure messaging: aboparai96696@albanymed.direct-ci.com

Organizations & group practices 11

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 2

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1225390420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WEEKS PARK LN APT 208",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 3RD ST STE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012245",
            "telephone_number": "940-767-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPARAI",
        "first_name": "ANUPAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10042842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.