Organization Active NPI

S Kapoor PLLC

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1558090688
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
S KAPOOR PLLC
Practice address
2109 Club Vista PL
Louisville, KY 40245-5224
Phone
(502) 602-4620
NPI assigned
Jun 6, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kaylee James
Title
Director of Revenue
Phone
(502) 602-4620

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20220912002837 KY Part B Supplier - Clinic/Group Practice 6305221334 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: kaylee.james@sunriserecoverycare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2109 Club Vista PL
Louisville, KY 40245-5224

Mailing address

2109 Club Vista PL
Louisville, KY 40245-5224
Phone (502) 602-4620

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address KAYLEE.JAMES@SUNRISERECOVERYCARE.COM Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2022.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1558090688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CLUB VISTA PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455224",
            "telephone_number": "502-602-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CLUB VISTA PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455224",
            "telephone_number": "502-602-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S KAPOOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "502-602-4620"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KAYLEE.JAMES@SUNRISERECOVERYCARE.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2109 Club Vista Pl",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402455224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.