Individual provider Active NPI

Dhanu Kapoor, M.D

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1942212758
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80435 Issued in CA
Practice address
2040 Forest Ave Ste 5
San Jose, CA 95128-4816
Phone
(408) 241-2900
Fax
(408) 244-1696
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 A80435 CA Primary

Addresses

Primary practice location

2040 Forest Ave Ste 5
San Jose, CA 95128-4816

Mailing address

2040 Forest Ave Ste 5
San Jose, CA 95128-4816
Phone (408) 241-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070319000249 CA Practitioner - Family Practice 3476656166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2040 Forest Ave
Suite 5
San Jose, CA 95128-4816
Phone (408) 241-2900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clara Medical Group Inc Family Medicine CurrentSince Aug 15, 2006 Accepting new patients
O'Connor Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

2040 Forest Ave
Ste 5
San Jose, CA 95128
Phone (408) 241-2900

1150 Scott Blvd
Ste B1
Santa Clara, CA 95050
Phone (408) 241-2900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dkapoor41993@santaclaravalley.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1942212758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284816",
            "telephone_number": "408-241-2900",
            "fax_number": "408-244-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284816",
            "telephone_number": "408-241-2900",
            "fax_number": "408-244-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "DHANU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.