Individual provider Active NPI

Rahul Kapur, MD

  • Sports Medicine (Family Medicine) Physician
  • Saint Paul, MN
National Provider Identifier
1295931962
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
63808 Issued in MN
Practice address
1414 Maryland Ave E
Saint Paul, MN 55106
Phone
(651) 772-3461
Fax
(651) 772-5477
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD427827 PA
Sports Medicine (Family Medicine) Physician 207QS0010X MD427827 PA
Sports Medicine (Family Medicine) Physician 207QS0010X 63808 MN Primary

Addresses

Primary practice location

1414 Maryland Ave E
Saint Paul, MN 55106

Mailing address

420 Delaware St SE Ste 300
Minneapolis, MN 55455-0341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070726000372 PA Practitioner - Family Practice 2668573247 Reassigns benefits to 2 organizations
I20180620000002 MN Practitioner - Sports MedicinePractitioner - Family Practice 2668573247 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Virginia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

1414 Maryland Ave E
Saint Paul, MN 55106-2824
Phone (651) 772-3461

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Hospital & facility affiliations

  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63808MNMDSports Medicine (Family Medicine) Physician
MD427827PAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 31, 2018 Accepting new patients
Healtheast St. John'S Hospital CurrentSince Aug 1, 2020 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 31, 2018 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Fairview Bethesda Hospital CurrentSince Aug 1, 2020 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Fairview Clinics CurrentSince Oct 20, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 17, 2020 Accepting new patients
Fairview Clinics CurrentSince Oct 20, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 31, 2018 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
University of Penn-Medical Group CurrentSince Apr 1, 2015 Accepting new patients
Fairview Express Care Current Accepting new patients
University of Penn-Medical Group CurrentSince Apr 1, 2015 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Healtheast Care System CurrentSince Aug 1, 2020 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 31, 2018 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Aug 1, 2020 Accepting new patients
Cardiothoracic Surgery Clinic of North Ms Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Fairview Health Services Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

10961 Club West Pkwy
Ste 200
Minneapolis, MN 55449
Phone (763) 528-2922

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

10961 Club West Pkwy
Minneapolis, MN 55449
Phone (763) 572-5700

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

420 Delaware St SE
Ste 300
Minneapolis, MN 55455

1414 Maryland Ave E
Saint Paul, MN 55106
Phone (651) 772-3461

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3737 Market St
#9
Philadelphia, PA 19104
Phone (215) 294-9525

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

Interoperability endpoints

  • Direct secure messaging: rkapur438173@fairview.direct-ci.com

Organizations & group practices 27

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 27

Hospital & facility affiliations 4

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1295931962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-772-3461",
            "fax_number": "651-772-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUR",
        "first_name": "RAHUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD427827",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD427827",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MN",
            "license": "63808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.