Kapil Puri MD P a

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME91106 Issued in FL

Legal business name

KAPIL PURI MD P A

Practice address

1001 College Blvd W
Ste H
Niceville, FL 32578-1099

Phone

(850) 279-4600

Fax

(850) 279-4566

NPI assigned

Mar 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kapil Puri, M.D.NPI 1962494211

Title

President

Phone

(850) 279-4600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kapil Puri, M.D.

  • Urology Physician
  • Niceville, FL
  • NPI 1962494211
  Medicare reassignment Authorized official
• Stephen T Enguidanos, MD

  • Orthopaedic Surgery Physician
  • Niceville, FL
  • NPI 1821025008
  NPD
• Gregory Brent Archer, PA-C

  • Physician Assistant
  • Niceville, FL
  • NPI 1114085115
  NPD (past)
• Stephen James Craig, AGNP-C

  • Primary Care Nurse Practitioner
  • Pensacola, FL
  • NPI 1376183129
  NPD (past)
• Harry F Johnson, PA-C

  • Medical Physician Assistant
  • Niceville, FL
  • NPI 1144260746
  NPD (past)
• Jonathan David Needler, PA-C

  • Surgical Physician Assistant
  • Destin, FL
  • NPI 1912155490
  NPD (past)
• Lee Richerson Mackin, PA-C

  • Surgical Physician Assistant
  • Oklahoma City, OK
  • NPI 1235293804
  NPD (past)

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

{
    "created_epoch": "1204416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1962672337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325880524",
            "telephone_number": "850-279-4500",
            "fax_number": "850-279-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W",
            "address_2": "STE H",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781099",
            "telephone_number": "850-279-4600",
            "fax_number": "850-279-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPIL PURI MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-02",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "KAPIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-279-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME91106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270922800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "AK816",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Judge, M D
• Julie Staats DO Family Medicine
• Julie Staats DO Family Medicine PA
• Wayne P Justice, MD
• Rochelle Kandler
• Karen Henard Benhamron, D.C.
• Karena Dawn Karshbaum, RN
• Cherie Kass, LMHC
• Kca Physical Therapy
• Lynn M Keefe, MD

• Urology Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.