Individual provider Active NPI

Deepak Kapoor, MD

  • Urology Physician
  • Bethpage, NY
National Provider Identifier
1629031539
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
192355 Issued in NY
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000165 NY Practitioner - Urology 5092727560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192355NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Jun 1, 2006 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jun 1, 2006 Accepting new patients
Integrated Medical Professionals PLLC Past Accepting new patients
Advanced Urology Institute, LLC Urology PastSince May 6, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.