Individual provider Active NPI

Shalini Kapoor, M.D.

  • Ophthalmology Physician
  • Westlake Village, CA
National Provider Identifier
1932206224
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C52055 Issued in CA
Practice address
4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4631
Phone
(805) 987-5300
Fax
(818) 707-7668
NPI assigned
Sep 20, 2006
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C52055 CA Primary

Addresses

Primary practice location

4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4631

Mailing address

4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4631
Phone (805) 987-5300

Other identifiers 1

IdentifierTypeStateIssuer
C52055OtherCASTATE MEDICAL LICENSE#

Other names 1

  • Dr. Shalini K Grover Other name

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
I20200203000494 NY Practitioner - Ophthalmology 3779666169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

450 Margaret St
Plattsburgh, NY 12901-1755
Phone (518) 566-2020

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.52
Improvement activities
40
Cost
79.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care for the Adirondacks Associates in Ophthalmology PC Ophthalmology CurrentSince Mar 1, 2020 Accepting new patients
Eye Care for the Adirondacks Associates in Ophthalmology, PC CurrentSince Mar 1, 2020 Accepting new patients
Paul J Dougherty M D Inc Ophthalmology CurrentSince Dec 4, 2010 Accepting new patients
Charles a. Garcia, M.D.,P.a. Ophthalmology PastSince Sep 5, 1991 Accepting new patients
Greater Dallas Healthcare Enterprises Past Accepting new patients
Garcia & Associates, East Houston P.a. Past Accepting new patients
George Yaplee Medical Center Inc. Ophthalmology PastSince May 30, 2017 Accepting new patients

Locations

321 N Larchmont Blvd
Ste 1050
Los Angeles, CA 90004
Phone (323) 466-7337

4353 Park Terrace Dr
Ste 150
Westlake Vlg, CA 91361
Phone (805) 695-2462

75 6th St
Malone, NY 12953
Phone (518) 483-0065

450 Margaret St
Plattsburgh, NY 12901
Phone (518) 561-5180

450 Margaret St
Ste 2
Plattsburgh, NY 12901

51 Woodruff St
Saranac Lake, NY 12983
Phone (518) 891-8412

Organizations & group practices 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1932206224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614631",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614631",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C52055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE#",
            "identifier": "C52055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALINI",
            "last_name": "GROVER",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.