Active NPI
Krishna Shakti Kapoor, MD
- Internal Medicine Physician
- Fargo, ND
National Provider Identifier
1508540667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PT24339
- Practice address
- 820 4TH St N
Fargo, ND 58102-4539 - Phone
- (701) 234-6161
- NPI assigned
- Jun 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PT24339 | ND | Primary |
Addresses
Primary practice location
820 4TH St N
Fargo, ND 58102-4539
Mailing address
419 3Rd St N Apt 216
Fargo, ND 58102-5458
Phone (512) 717-1210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230725003665 | TX | Order and Referring Only - Internal Medicine | 3173984028 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1508540667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 3RD ST N APT 216",
"city": "FARGO",
"state": "ND",
"postal_code": "581025458",
"telephone_number": "512-717-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 4TH ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024539",
"telephone_number": "701-234-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPOOR",
"first_name": "KRISHNA",
"middle_name": "SHAKTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ND",
"license": "PT24339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.