Active NPI
Sunil Amrit Kapoor, M.D.
- Pediatric Pulmonology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 0101231032
- Practice address
- 2730 A Prosperity Avenue
Fairfax, VA 22031-2238 - Phone
- (703) 289-1410
- Fax
- (703) 289-1420
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 0101231032 | VA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | MD21982 | DC | |
| Pediatric Pulmonology Physician | 2080P0214X | D0060870 | MD |
Addresses
Primary practice location
2730 A Prosperity Avenue
Fairfax, VA 22031-2238
Mailing address
2730 B Prosperity Avenue
Fairfax, VA 22031-2238
Phone (703) 289-1400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6716288 | Medicaid | VA | |
| 6728094 | Medicaid | VA | |
| 6716237 | Medicaid | VA | |
| 6706703 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21982 | DC | MD | Pediatric Pulmonology Physician |
| D0060870 | MD | MD | Pediatric Pulmonology Physician |
| 0101231032 | VA | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Fairfax Neonatal Associates, PC | Pediatric Pulmonology | Past | Accepting new patients |
Locations
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Organizations & group practices 6
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.
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-
- Durable Medical Equipment & Medical Supplies
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- NPI 1114574126
-
- Multi-Specialty Clinic/Center
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- NPI 1275992240
-
- Pediatric Pulmonology Physician
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-
- Cardiovascular Disease Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1801852215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 B PROSPERITY AVENUE",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-289-1400",
"fax_number": "703-289-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 A PROSPERITY AVENUE",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-289-1410",
"fax_number": "703-289-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPOOR",
"first_name": "SUNIL",
"middle_name": "AMRIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "VA",
"license": "0101231032",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "DC",
"license": "MD21982",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MD",
"license": "D0060870",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6716288",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6728094",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6716237",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6706703",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.
- 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.