Individual provider Active NPI

Mandeep Kapoor, NP

  • Family Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1912601691
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013759A Issued in IN
Practice address
655 US 31 South
Greenwood, IN 46142-3061
Phone
(317) 881-1655
NPI assigned
Mar 28, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013759A IN Primary

Addresses

Primary practice location

655 US 31 South
Greenwood, IN 46142-3061

Mailing address

11839 Geyser CT
Fishers, IN 46038-5497
Phone (646) 724-9694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330001418 IN Practitioner - Nurse Practitioner 2264806447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Indiana PC CurrentSince Mar 27, 2023 Accepting new patients
Fishers Clinic and Med Spa LLC PastSince Sep 8, 2024 Accepting new patients

Locations

11670 Commercial Dr
Ste 100
Fishers, IN 46038
Phone (317) 210-9005

997 E County Line Rd
Ste M
Greenwood, IN 46143
Phone (317) 577-1990

9510 N Meridian St
Ste D
Indianapolis, IN 46260
Phone (317) 210-9005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1912601691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11839 GEYSER CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460385497",
            "telephone_number": "646-724-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 US 31 SOUTH",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423061",
            "telephone_number": "317-881-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "MANDEEP",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013759A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.