NPIMap

Individual provider Active NPI

Rajan Kapoor, MBBS

  • Nephrology Physician
  • Tempe, AZ
National Provider Identifier
1376881177
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
069299 Issued in GA
Practice address
2149 E Warner Rd Ste 101
Tempe, AZ 85284-3495
Phone
(804) 610-6100
Fax
(480) 464-0189
NPI assigned
Jan 29, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 069299 GA Primary

Addresses

Primary practice location

2149 E Warner Rd Ste 101
Tempe, AZ 85284-3495

Mailing address

2149 E Warner Rd Ste 101
Tempe, AZ 85284-3495
Phone (804) 610-6100

Other identifiers 1

IdentifierTypeStateIssuer
069299OtherGAGA LICENSES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140623002449 GA Practitioner - Nephrology 3971727488 Reassigns benefits to 1 organization
I20210518000607 AZ Practitioner - NephrologyPractitioner - Internal Medicine 3971727488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner - University Super Specialists LLCGroup PAC ID 1850695255, 31 clinicians
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

1441 N 12TH St
Phoenix, AZ 85006-2837
Phone (844) 242-4664

485 S Dobson Rd
Suite 105
Chandler, AZ 85224-5603
Phone (480) 610-6100

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (602) 521-3086

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.02 of 100Reported as group
Quality
69.14
Promoting interoperability
100
Improvement activities
40
Cost
77.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Apr 1, 2021 Accepting new patients
Banner - University Super Specialists LLC CurrentSince Aug 15, 2021 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Apr 1, 2021 Accepting new patients

Locations

485 S Dobson Rd
Ste 105
Chandler, AZ 85224
Phone (480) 525-0201

1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

10440 E Riggs Rd
Ste 180
Sun Lakes, AZ 85248
Phone (480) 802-2424

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

Interoperability endpoints

  • Direct secure messaging: rajan.kapoor.1@2697.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376881177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "804-610-6100",
            "fax_number": "480-464-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "804-610-6100",
            "fax_number": "480-464-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "069299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSES",
            "identifier": "069299",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.