Organization Active NPI

G. R. Kapoor & S. R. Oza M.DS. Inc.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1851587455
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35043533 Issued in OH
Legal business name
G. R. KAPOOR & S. R. OZA M.DS. INC.
Practice address
16111 Lorain Ave
Cleveland, OH 44111-5520
Phone
(216) 252-8444
Fax
(216) 252-7224
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dr. Gopalkrishna Raghunathraj Kapoor, M.D.
Title
President
Phone
(216) 252-8444

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35045653 OH
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35043533 OH Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 35043533 OH
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 35045653 OH

Addresses

Primary practice location

16111 Lorain Ave
Cleveland, OH 44111-5520

Mailing address

16111 Lorain Ave
Cleveland, OH 44111-5520
Phone (216) 252-8444

Other identifiers 8

IdentifierTypeStateIssuer
CK3114OtherOHRAILROAD MEDICARE GROUP PTAN
0444031MedicaidOH
0509300MedicaidOH
793111449OtherOHRAILROAD MEDICARE PIN
0435738MedicaidOH
C01949OtherOHUPIN
110146232OtherOHRAILROAD MEDICARE PIN
A79970OtherOHUPIN

National Provider Directory

National Provider Directory

Locations

16111 Lorain Ave
Cleveland, OH 44111
Phone (216) 252-8444

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1851587455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115520",
            "telephone_number": "216-252-8444",
            "fax_number": "216-252-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115520",
            "telephone_number": "216-252-8444",
            "fax_number": "216-252-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. R. KAPOOR & S. R. OZA M.DS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "GOPALKRISHNA",
        "authorized_official_middle_name": "RAGHUNATHRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-252-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35045653",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35043533",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35043533",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35045653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "CK3114",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444031",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0509300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "793111449",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435738",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C01949",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "110146232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A79970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.