Gurbachan S Kapoor, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

01026462A Issued in IN

Practice address

4755 Ameritech Dr
South Bend, IN 46628-9120

Phone

(574) 271-2558

Fax

(574) 273-1137

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1396738209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 AMERITECH DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466289120",
            "telephone_number": "574-271-2558",
            "fax_number": "574-273-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "GURBACHAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01026462A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00051342",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000251277",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Chase Kanaby, DPT
• Leslie Nicole Kaniuk, NP
• Laura Kanyimbo, DNP
• Gabrielle Kapaldo
• McKenzi Kaplanis, DO
• Jennifer Karagiannakis, RN
• John P. Karagiannis, M.D.
• Lorraine E Karam, MA, LMHC
• Akila T Karanja, FNP-BC
• Amy Kay Karanja, NP

• Radiation Oncology Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Radiation Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.