Neeti Kapur, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125051423 Issued in IL

Practice address

1095 N Bragg Blvd Ste 104
Spring Lake, NC 28390

Phone

(910) 568-5793

Fax

(910) 758-8042

NPI assigned

Aug 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2020 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1629224092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 N BRAGG BLVD STE 104",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903307",
            "telephone_number": "910-568-5793",
            "fax_number": "910-758-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 N BRAGG BLVD STE 104",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "28390",
            "telephone_number": "910-568-5793",
            "fax_number": "910-758-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 W Diversey Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606141454",
            "country_code": "US",
            "telephone_number": "773-281-3563",
            "fax_number": "773-880-6107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W Diversey Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606141454",
            "country_code": "US",
            "telephone_number": "773-281-3563",
            "fax_number": "773-880-6107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPUR",
        "first_name": "NEETI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-17",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125051423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122618",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carey Judy
• Deshayla Jurgens
• Tierra Lynette Kaiser, RBT
• Kaleo Support, Inc.
• Kaleo Supports, Inc.
• Veronica Kelly, LCSW, LCAS
• Daisa Kemp
• Kidzcare Pediatrics, PC
• Sara Killam, RBT
• Paul Kim, DMD

• Family Medicine Physician in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.