Active NPI
Mojdeh Sheila Kappus, MD
- Surgery Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 160994
- Practice address
- 3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801 - Phone
- (772) 219-4026
- Fax
- (772) 283-4919
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 298783 | NY | |
| Surgery Physician | 208600000X | 160994 | FL | Primary |
Addresses
Primary practice location
3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801
Mailing address
3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- State University of New York at Buffalo School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Niagara Falls Memorial Medical Center
Practice addresses (Care Compare)
620 10TH St
Suite 704
Niagara Falls, NY 14301-1841
Phone (716) 278-4402
621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160994 | FL | MD | Surgery Physician |
| 298783 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Falls Memorial Medical Center | Surgery | Current | Accepting new patients |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Lake Erie Medical Services, PC | Past | Accepting new patients |
Locations
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
419 Central Ave
Dunkirk, NY 14048
Phone (716) 952-4266
620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402
620 10th St
Ste 700
Niagara Falls, NY 14301
Phone (716) 278-0873
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
Organizations & group practices 5
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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
-
- Obstetrics & Gynecology Physician
- Niagara Falls, NY
- NPI 1982659256
Surgery
-
- Oncology Clinic/Center
- Niagara Falls, NY
- NPI 1144842816
-
- Anesthesiology Physician
- Fredonia, NY
- NPI 1437406931
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1366887960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 S KANNER HWY STE 200",
"city": "STUART",
"state": "FL",
"postal_code": "349944801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S KANNER HWY STE 200",
"city": "STUART",
"state": "FL",
"postal_code": "349944801",
"telephone_number": "772-219-4026",
"fax_number": "772-283-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPUS",
"first_name": "MOJDEH",
"middle_name": "SHEILA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "298783",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "160994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.