Individual provider Active NPI

Shruti G. Kapoor, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hilliard, OH
National Provider Identifier
1285836171
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35.126813 Issued in OH
Practice address
3663 Ridge Mill Dr
Suite 100
Hilliard, OH 43026-7799
Phone
(614) 788-4440
Fax
(614) 788-4459
NPI assigned
Jun 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 35.126813 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.126813 OH Primary

Addresses

Primary practice location

3663 Ridge Mill Dr
Suite 100
Hilliard, OH 43026-7799

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other identifiers 1

IdentifierTypeStateIssuer
0152959MedicaidOH

Other names 1

  • Shruti Gupta Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skapoor168674@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151228001930 OH Practitioner - Pain ManagementPractitioner - Anesthesiology 0143492611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Johns Hopkins University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

5141 W Broad St
Suite 115
Columbus, OH 43228-1984
Phone (614) 566-0774

Hospital & facility affiliations

  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.126813OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Ohio LLC Pain Medicine CurrentSince Dec 1, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2017 Accepting new patients
Ohiohealth Corporation Pain Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

5141 W Broad St
Ste 115
Columbus, OH 43228
Phone (614) 544-1061

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

3663 Ridge Mill Dr
Ste 100
Hilliard, OH 43026
Phone (614) 527-2562

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1285836171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 RIDGE MILL DR",
            "address_2": "SUITE 100",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267799",
            "telephone_number": "614-788-4440",
            "fax_number": "614-788-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "SHRUTI",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.126813",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.126813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152959",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skapoor168674@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "3663 Ridge Mill Dr",
            "address_2": "Ste 100",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430267799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHRUTI",
            "last_name": "GUPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.