Imtiyaz I Kapadwala, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

NOO5412 Issued in NY

Practice address

220A Saint Nicholas Ave
Brooklyn, NY 11237-4807

Phone

(718) 418-8540

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: imtiyazkapadwala@whmc.allscriptsdirect.net

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.

• Imtiyaz I Kapadwala DPM PC

  • Specialist
  • Brooklyn, NY
  • NPI 1134199599
  Medicare reassignment NPD Authorized official
• Podiatric Surgical Services, P.C.

  • Podiatrist
  • Brooklyn, NY
  • NPI 1295960771
  Medicare reassignment NPD Authorized official
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD
• Liberty Medical Practice P.C

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1942373675
  NPD (past)
• Lifeline Medical Testing PLLC

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1114634482
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1912977364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 HARBOR RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572640",
            "telephone_number": "718-418-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220A SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374807",
            "telephone_number": "718-418-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPADWALA",
        "first_name": "IMTIYAZ",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005412",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NOO5412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01808488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hetarth Kapadia
• Lakshmi Kapadia, MD
• Milan Kapadia, DO
• Purvang S Kapadia, PT, MS
• Sadia Kapadia
• Georgea Kapassakis, M.S.,CCC-SLP
• Rimma Kapatsinskaya, O.D.
• Suzanne Beth Kaphan
• Ambika Devi Kaphle Bastola
• Neil Kapil

• Foot Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.