Individual provider Active NPI

Yamini Satish Kapileshwarkar, MD

  • Pediatric Critical Care Medicine Physician
  • Detroit, MI
National Provider Identifier
1306186861
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
036146959 Issued in IL
Practice address
3901 Beaubien St
Suite 4105
Detroit, MI 48201-2119
Phone
(313) 745-0122
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301102217 MI
Pediatric Critical Care Medicine Physician 2080P0203X C171969 CA
Pediatric Critical Care Medicine Physician 2080P0203X 036146959 IL Primary

Addresses

Primary practice location

3901 Beaubien St
Suite 4105
Detroit, MI 48201-2119

Mailing address

3901 Beaubien St
Suite 4105
Detroit, MI 48201-2119
Phone (313) 745-0122

Other practice location 1

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (774) 444-2888

Other practice location 2

909 W Temple St Apt 423B
Los Angeles, CA 90012-4437
Phone (774) 444-2888

Other names 1

  • Yamini Rajkanan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, MI3 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
I20210929002735 CA Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 2668773235 Reassigns benefits to 2 organizations
I20230523002421 WA Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 2668773235 Reassigns benefits to 1 organization
I20240821002154 MI Practitioner - Pediatric Medicine 2668773235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University PediatriciansGroup PAC ID 9638070568, 121 clinicians

Practice addresses (Care Compare)

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince May 16, 2023 Accepting new patients
The Association of University Physicians CurrentSince Jun 6, 2023 Accepting new patients
University Pediatricians Pediatrics CurrentSince Sep 1, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince May 16, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 1, 2021 Accepting new patients
University Pediatricians Pediatrics CurrentSince Sep 1, 2024 Accepting new patients
VHS Childrens Hospital of Michigan Inc Past Accepting new patients

Locations

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Ste 4105
Detroit, MI 48201
Phone (313) 745-0122

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

Organizations & group practices 9

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 1

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1306186861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "address_2": "SUITE 4105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "address_2": "SUITE 4105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616370001",
            "country_code": "US",
            "telephone_number": "774-444-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 W Temple St Apt 423B",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900124437",
            "country_code": "US",
            "telephone_number": "774-444-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPILESHWARKAR",
        "first_name": "YAMINI",
        "middle_name": "SATISH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2021-06-17",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301102217",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "C171969",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "IL",
            "license": "036146959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAMINI",
            "last_name": "RAJKANAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.