Individual provider Active NPI

Tanya J Kapka, MD

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1326137860
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
309407 Issued in NY
Practice address
9701 Northern Blvd
Flushing, NY 11368-1043
Phone
(718) 765-6053
Fax
(347) 706-3810
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 26259 OR
Family Medicine Physician 207Q00000X 309407 NY Primary

Addresses

Primary practice location

9701 Northern Blvd
Flushing, NY 11368-1043

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

3160 21st St
Astoria, NY 11106-4520
Phone (718) 808-7300

Other practice location 2

8922 Queens Blvd
Elmhurst, NY 11373-4932
Phone (718) 255-5003

Other practice location 3

22219 Linden Blvd
Jamaica, NY 11411-1605
Phone (718) 765-6055

Other identifiers 1

IdentifierTypeStateIssuer
06777182MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NY2 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
I20060502000342 OR Practitioner - Family Practice 2668433525 Reassigns benefits to 1 organization
I20210816003653 NY Practitioner - Family Practice 2668433525 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians

Practice addresses (Care Compare)

14 -16 Brooklyn Ave
Freeport, NY 11520-3037
Phone (516) 254-7628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 26259ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 11, 2021 Accepting new patients
Griffin Myers Medical, P.C. Family Medicine CurrentSince Jun 24, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 11, 2021 Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
County of Clackamas Office of County Auditor Past Accepting new patients

Locations

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

8922 Queens Blvd
Elmhurst, NY 11373
Phone (718) 255-5003

9701 Northern Blvd
Flushing, NY 11368
Phone (718) 765-6053

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

22219 Linden Blvd
Jamaica, NY 11411
Phone (718) 765-6055

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

3160 21st St
Long Island City, NY 11106
Phone (718) 808-7300

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: tkapka41272@direct.acpny.com
  • Direct secure messaging: tkapka1683076@nychhc.direct-ci.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1326137860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113681043",
            "telephone_number": "718-765-6053",
            "fax_number": "347-706-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 21st St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111064520",
            "country_code": "US",
            "telephone_number": "718-808-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8922 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734932",
            "country_code": "US",
            "telephone_number": "718-255-5003",
            "fax_number": "718-228-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22219 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114111605",
            "country_code": "US",
            "telephone_number": "718-765-6055",
            "fax_number": "347-808-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPKA",
        "first_name": "TANYA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD 26259",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "309407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06777182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.