Active NPI
Deepak Kapoor, MD
- Urology Physician
- Bethpage, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 192355
- Practice address
- 4230 Hempstead Tpke
Bethpage, NY 11714-5700 - Phone
- (516) 796-2222
- Fax
- (516) 796-2303
- NPI assigned
- Apr 11, 2006
- Last updated
- Feb 23, 2011
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 192355 | NY | Primary |
Addresses
Primary practice location
4230 Hempstead Tpke
Bethpage, NY 11714-5700
Mailing address
532 Broadhollow Rd
Suite 142
Melville, NY 11747-3672
Phone (516) 931-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192355 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Professionals PLLC | Urology | Current | Accepting new patients |
| Integrated Medical Professionals PLLC | Urology | Current | Accepting new patients |
| Integrated Medical Professionals PLLC | Past | Accepting new patients | |
| Advanced Urology Institute, LLC | Urology | Past | Accepting new patients |
Locations
4230 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 735-7900
4230 Hempstead Tpke
Ste 200
Bethpage, NY 11714
Phone (516) 656-1414
340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041
160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118
4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- deepakkapoor@imppllc.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Urology Physician
- Lake Success, NY
- NPI 1346203536
-
dba Advanced Urology Centers of Ny - Manhattan
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1295534626
Urology
-
- Non-Pharmacy Dispensing Site
- New Hyde Park, NY
- NPI 1073918009
-
- Durable Medical Equipment & Medical Supplies
- Inverness, FL
- NPI 1700024163
Urology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1629031539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BROADHOLLOW RD",
"address_2": "SUITE 142",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473672",
"telephone_number": "516-931-0041",
"fax_number": "516-822-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HEMPSTEAD TPKE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145700",
"telephone_number": "516-796-2222",
"fax_number": "516-796-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPOOR",
"first_name": "DEEPAK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "192355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.