Organization Active NPI

Rohit Kapoor MD PA

  • Hematology & Oncology Physician
  • Live Oak, TX
National Provider Identifier
1790805877
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
J5369 Issued in TX
Legal business name
ROHIT KAPOOR MD PA
Practice address
12602 Toepperwein Rd Ste 114
Live Oak, TX 78233-3270
Phone
(210) 655-0075
Fax
(210) 655-2117
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
James Parks
Title
Billing Administrator
Phone
(210) 655-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X J5369 TX Primary

Addresses

Primary practice location

12602 Toepperwein Rd Ste 114
Live Oak, TX 78233-3270

Mailing address

PO Box 676596
Dallas, TX 75267-6596
Phone (210) 655-0075

Other identifiers 3

IdentifierTypeStateIssuer
129591707MedicaidTX
00039SOtherTXBLUE CROSS BLUE SHIELD
DG8239OtherTXMEDICARE RAILROAD CARRIER

Other names 1

  • Rohit Kapoor MD PA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070510000154 TX Part B Supplier - Clinic/Group Practice 5890891691 Receives reassigned benefits from 1 practitioner
Practice locations: Live Oak, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0911491Rohit Kapoor MD PA12602 Toepperwein Suite 114, San Antonio, TX 78233AccreditationJun 13, 2028

National Provider Directory

National Provider Directory

Locations

111 E Miller St
Dilley, TX 78017
Phone (210) 614-6111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1790805877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676596",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676596",
            "telephone_number": "210-655-0075",
            "fax_number": "210-655-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 114",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333270",
            "telephone_number": "210-655-0075",
            "fax_number": "210-655-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHIT KAPOOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "210-655-0075"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "J5369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129591707",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00039S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DG8239",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rohit Kapoor MD PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rohit Kapoor MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.