Om P Kapoor, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME101418 Issued in FL

Practice address

4131 University Blvd S Ste 3
Jacksonville, FL 32216-4346

Phone

(904) 312-9201

Fax

(904) 312-9202

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 1, 2019 through Sep 1, 2027

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fair and Balanced, LLC

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1578179586
  NPD Authorized official
• Mount Sinai Diagnostic and Treatment Center

  • Clinic/Center
  • New York, NY
  • NPI 1669476156
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1891733952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10981 HICKORY TRACE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562319",
            "telephone_number": "904-312-9201",
            "fax_number": "904-312-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-312-9201",
            "fax_number": "904-312-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6349 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322162707",
            "country_code": "US",
            "telephone_number": "904-721-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Prudential Dr Ste 515",
            "address_2": "Credentialing Department",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078207",
            "country_code": "US",
            "telephone_number": "904-396-4886",
            "fax_number": "904-398-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "OM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME101418",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101418",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME101418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00641042",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281253300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Kaplan, MD
• Kevin M Kaplan, M.D.
• Michael Richard Kaplan, D.O.
• Sheldon Jay Kaplan, PHD
• Nidhi Kapoor, MD
• Saumya Kapoor
• Melissa Diane Kapp, APRN
• Sarah Anna Kappes, MT-BC
• Kapsule
• Amira Karagic

• Infectious Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.