Individual provider Active NPI

Ronald Kapusta, MD

  • Obstetrics & Gynecology Physician
  • Carrollton, TX
National Provider Identifier
1699706465
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E8015 Issued in TX
Practice address
3012 E Hebron Parkway
Ste 104
Carrollton, TX 75010-4428
Phone
(972) 394-0200
Fax
(972) 492-3390
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E8015 TX Primary

Addresses

Primary practice location

3012 E Hebron Parkway
Ste 104
Carrollton, TX 75010-4428

Mailing address

3012 E Hebron Parkway
Ste 104
Carrollton, TX 75010-4428
Phone (972) 394-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160222000395 TX Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 1355646837

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8015TXMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1699706465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PARKWAY",
            "address_2": "STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104428",
            "telephone_number": "972-394-0200",
            "fax_number": "972-492-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PARKWAY",
            "address_2": "STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104428",
            "telephone_number": "972-394-0200",
            "fax_number": "972-492-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUSTA",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E8015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.