Individual provider Active NPI

Kalvin Kunal Kapoor, D.O

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1861829392
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS13693 Issued in FL
Practice address
66 W Flagler St Ste 900
Miami, FL 33130-1807
Phone
(610) 306-2618
NPI assigned
Sep 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X OS13693 FL
Psychiatry Physician 2084P0800X OS13693 FL Primary

Addresses

Primary practice location

66 W Flagler St Ste 900
Miami, FL 33130-1807

Mailing address

6928 SW 39TH St Apt A208
Davie, FL 33314-2471
Phone (610) 306-2618

Other practice location 1

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 724-6540

Other practice location 2

99 Almaden Blvd Ste 600
San Jose, CA 95113-1605
Phone (408) 402-4382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, MI, GA, MA, CT, SC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20171109003027 NC Practitioner - Psychiatry 2163788902
I20180130001502 FL Practitioner - PsychiatryPractitioner - Neuropsychiatry 2163788902 Reassigns benefits to 4 organizations
I20211004001234 MI Practitioner - Psychiatry 2163788902 Reassigns benefits to 3 organizations
I20220620000620 GA Practitioner - Psychiatry 2163788902 Reassigns benefits to 1 organization
I20230725001810 MA Practitioner - Psychiatry 2163788902 Reassigns benefits to 1 organization
I20230919002317 CT Practitioner - Psychiatry 2163788902 Reassigns benefits to 1 organization
I20241030003284 SC Practitioner - Psychiatry 2163788902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMP Medical Center CorpGroup PAC ID 9133457401, 9 clinicians
Gandg Behavioral Center IncGroup PAC ID 4183095193, 6 clinicians

Practice addresses (Care Compare)

1797 Coral Way
Miami, FL 33145-2728
Phone (786) 464-0673

66 E Flagler St
Miami, FL 33130-1807
Phone (610) 306-2618

7309 W Flagler St
Miami, FL 33144-2505
Phone (786) 703-1390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83769SCMDOrthopaedic Surgery Physician
OS13693FLMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Community Center Inc CurrentSince Oct 11, 2021 Accepting new patients
Crossley Wellness Center CurrentSince Jul 15, 2022 Accepting new patients
McDowell Healing Arts Center LLC CurrentSince Jan 10, 2026 Accepting new patients
Vital Psych MD LLC Psychiatry CurrentSince Aug 20, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Evolve Managed Care Solutions Psychiatry CurrentSince May 1, 2024 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Jun 29, 2022 Accepting new patients
Campillo Medical Corp Psychiatry CurrentSince Mar 30, 2021 Accepting new patients
Rudoy Medical PC Psychiatry Past Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

5590 W 20th Ave
Ste 404
Hialeah, FL 33016
Phone (305) 819-9240

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

6583 SW 39th Ter
Miami, FL 33155
Phone (786) 615-3187

519 Blackburn Dr
Ste 523
Martinez, GA 30907
Phone (706) 267-0793

5154 Miller Rd
Ste I
Flint, MI 48507
Phone (810) 228-3164

3253 Congress Ave
Saginaw, MI 48602
Phone (989) 475-4171

3995 Fashion Square Blvd
Ste 6
Saginaw, MI 48603
Phone (989) 475-4171

410 University Pkwy
Ste 2000
Aiken, SC 29801
Phone (706) 524-7134

Interoperability endpoints

  • Direct secure messaging: kalvinkapoor@tdh.allscriptsdirect.net
  • Direct secure messaging: kalvin.kapoor.1@24927.direct.athenahealth.com

Organizations & group practices 12

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1861829392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6928 SW 39TH ST APT A208",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142471",
            "telephone_number": "610-306-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W FLAGLER ST STE 900",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301807",
            "telephone_number": "610-306-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212913",
            "country_code": "US",
            "telephone_number": "954-724-6540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Almaden Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131605",
            "country_code": "US",
            "telephone_number": "408-402-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "KALVIN",
        "middle_name": "KUNAL",
        "name_prefix": "Mr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "OS13693",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS13693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.