George T Kappos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21564 Issued in IA

Practice address

1010 S 3Rd St
1A
Polk City, IA 50226-1130

Phone

(515) 984-6426

Fax

(515) 984-6428

NPI assigned

Jan 4, 2006

Last updated

May 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20569/brand/1/csg/1/fhir/r4

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.

• George T. Kappos, MD

  • Primary Care Clinic/Center
  • Polk City, IA
  • NPI 1124357991
  NPD (past) Authorized official
• Douglas a Layton DO

  • Family Medicine Physician
  • Polk City, IA
  • NPI 1336781855
  NPD (past)
• Douglas a Layton DO, PLLC

  • Family Medicine Physician
  • Polk City, IA
  • NPI 1548809460
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1467430090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S THIRD ST",
            "address_2": "1A",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261165",
            "telephone_number": "515-984-6426",
            "fax_number": "515-984-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 3RD ST",
            "address_2": "1A",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261130",
            "telephone_number": "515-984-6426",
            "fax_number": "515-984-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPOS",
        "first_name": "GEORGE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "21564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161380",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080108761",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6161380",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4161380",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3161380",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Justin R Sands D.C. PLLC (Sands Clinic of Chiropractic)
• Stephanie Jane Kelsick, M.S.P.T.
• Lincoln Kleese
• Austin Kreber
• Douglas A. Layton, DO
• Nicole Heley Lehman

• Family Medicine Physician in Polk City, IA
• Providers in Polk City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.