Individual provider Active NPI

Minal Kapoor, MD

  • Infectious Disease Physician
  • Los Gatos, CA
National Provider Identifier
1962549220
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01064508 Issued in IN
Practice address
825 Pollard Rd
Los Gatos, CA 95032-1435
Phone
(408) 722-7930
Fax
(949) 561-5536
NPI assigned
Jan 30, 2007
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 01064508 IN Primary

Addresses

Primary practice location

825 Pollard Rd
Los Gatos, CA 95032-1435

Mailing address

PO Box 3429
Saratoga, CA 95070-1429
Phone (219) 314-4494

Other identifiers 1

IdentifierTypeStateIssuer
200912090MedicaidIN

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
I20200401003172 CA Practitioner - Infectious Disease 5890853162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064508INMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minal Kapoor MD PC Infectious Disease CurrentSince Oct 21, 2019 Accepting new patients
Munster Medical Research Foundation Inc Past Accepting new patients
St Catherine Hospital Inc Past Accepting new patients
Dylan Slotar MD PC Infectious Disease PastSince Jul 1, 2013 Accepting new patients

Locations

825 Pollard Rd
Los Gatos, CA 95032
Phone (669) 284-8181

825 Pollard Rd
Ste 100
Los Gatos, CA 95032
Phone (408) 866-3927

825 Pollard Rd
Ste 201
Los Gatos, CA 95032
Phone (408) 256-3134

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mkapoor154373@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, 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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1962549220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3429",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950701429",
            "telephone_number": "219-314-4494",
            "fax_number": "219-440-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "408-722-7930",
            "fax_number": "949-561-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "MINAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01064508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200912090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.