Individual provider Active NPI

Simran Shashi Kapur, M.D.

  • Emergency Medicine Physician
  • Nogales, AZ
National Provider Identifier
1255691713
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
51003 Issued in AZ
Practice address
1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone
(520) 285-8020
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 51003 AZ Primary
Emergency Medicine Physician 207P00000X 01073627A IN
Family Medicine Physician 207Q00000X 125-060331 IL

Addresses

Primary practice location

1171 W Target Range Rd
Nogales, AZ 85621-2415

Mailing address

305 W Jackson St
Suite 200
Carbondale, IL 62901-1474
Phone (618) 536-6621

Other practice location 1

305 W Jackson St
Suite 200
Carbondale, IL 62901-1474
Phone (618) 536-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140509001235 IN Practitioner - Emergency Medicine 8921247610 Reassigns benefits to 4 organizations
I20151005002899 TX Practitioner - Emergency MedicinePractitioner - Family Practice 8921247610 Reassigns benefits to 1 organization
I20151020000466 AZ Practitioner - Emergency MedicinePractitioner - Family Practice 8921247610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51003AZMDEmergency Medicine Physician
125-060331ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 1, 2015 Accepting new patients
Cep America-Arizona LLP Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Oct 1, 2017 Accepting new patients
Community Hospital of Lagrange County Inc Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Parkview Wabash Hospital, Inc. Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 1, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cep America-Arizona, PC Emergency Medicine CurrentSince Nov 2, 2020 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Nov 2, 2020 Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499

5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

5208 Reliable Pkwy
Chicago, IL 60686

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1255691713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST",
            "address_2": "SUITE 200",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-536-6621",
            "fax_number": "618-453-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 W TARGET RANGE RD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212415",
            "telephone_number": "520-285-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Jackson St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011474",
            "country_code": "US",
            "telephone_number": "618-536-6621",
            "fax_number": "618-453-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPUR",
        "first_name": "SIMRAN",
        "middle_name": "SHASHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "51003",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01073627A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-060331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

Verify at the official NPI Registry.