Individual provider Active NPI

Rishi Kapoor, D.C.

  • Chiropractor
  • Lisle, IL
National Provider Identifier
1689771503
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010082 Issued in IL
Practice address
3101 Ogden Ave
Lisle, IL 60532-1678
Phone
(630) 983-8455
Fax
(630) 983-8452
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010082 IL Primary

Addresses

Primary practice location

3101 Ogden Ave
Lisle, IL 60532-1678

Mailing address

3101 Ogden Ave
Lisle, IL 60532-1678
Phone (630) 983-8455

Other identifiers 1

IdentifierTypeStateIssuer
1634584OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000957 IL Practitioner - Chiropractic 6709840085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3101 Ogden Ave
Lisle, IL 60532-1678
Phone (630) 983-8455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010082ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Health Center Chiropractor CurrentSince Mar 19, 2009 Accepting new patients
Vitality Health Center Chiropractor CurrentSince Mar 19, 2009 Accepting new patients
Vitality Health and Wellness CurrentSince Sep 21, 2021 Accepting new patients
Vitality Health Center Chiropractor Past Accepting new patients

Locations

3524 Caton Farm Rd
Joliet, IL 60431
Phone (815) 557-5472

3101 Ogden Ave
Lisle, IL 60532
Phone (630) 983-8455

6400 W College Dr
Ste 200
Palos Heights, IL 60463
Phone (708) 389-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1689771503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321678",
            "telephone_number": "630-983-8455",
            "fax_number": "630-983-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321678",
            "telephone_number": "630-983-8455",
            "fax_number": "630-983-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "RISHI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1634584",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.