Active NPI
Gopal R Kapoor, M.D.
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1477631869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35043533
- Practice address
- 16111 Lorain Ave
Cleveland, OH 44111 - Phone
- (216) 252-8444
- Fax
- (216) 252-2724
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35043533 | OH | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 35-043533 | OH | |
| Internal Medicine Physician | 207R00000X | 35043533 | OH | Primary |
Addresses
Primary practice location
16111 Lorain Ave
Cleveland, OH 44111
Mailing address
16111 Lorain Ave
Cleveland, OH 44111-5520
Phone (216) 252-8444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851587455 | Other | OH | GROUP NPI |
| 9916374 | Other | OH | MEDICARE GROUP PIN |
| 793111449 | Other | OH | RAILROAD MEDICARE PIN |
| CK3114 | Other | OH | RAILROAD MEDICARE GROUP PIN |
| 0435738 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-043533 | OH | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1477631869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16111 LORAIN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115520",
"telephone_number": "216-252-8444",
"fax_number": "216-252-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16111 LORAIN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44111",
"telephone_number": "216-252-8444",
"fax_number": "216-252-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPOOR",
"first_name": "GOPAL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35043533",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OH",
"license": "35-043533",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35043533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1851587455",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "9916374",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "793111449",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP PIN",
"identifier": "CK3114",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435738",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.