Individual provider Active NPI

Kevin Conrad Kapcio, MD

  • Family Medicine Physician
  • Victor, NY
National Provider Identifier
1902547417
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
748643 Issued in NY
Practice address
53 W Main St Ste 1
Victor, NY 14564-1198
Phone
(585) 924-0690
NPI assigned
Apr 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 748643 NY Primary

Addresses

Primary practice location

53 W Main St Ste 1
Victor, NY 14564-1198

Mailing address

53 W Main St Ste 1
Victor, NY 14564-1198
Phone (585) 924-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251209003083 NY Practitioner - Family Practice 0244724110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

53 W Main St
Victor, NY 14564-1198
Phone (585) 924-0690

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
748643NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 5, 2026 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 5, 2026 Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

53 W Main St
Victor, NY 14564
Phone (585) 924-0690

53 W Main St
Ste 1
Victor, NY 14564
Phone (585) 924-0690

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1902547417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST STE 1",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641198",
            "telephone_number": "585-924-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST STE 1",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641198",
            "telephone_number": "585-924-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPCIO",
        "first_name": "KEVIN",
        "middle_name": "CONRAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "748643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.