Individual ProviderNitin KapurInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1919 Santa Monica Blvd Ste 210, Santa Monica, CA 90404(310) 423-8828PECOS EnrollmentBased on the most recent information from CMS, provider Nitin Kapur is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1164692570Provider TypeIndividualFull NameKapur, NitinTitleDr.CredentialMD MPHGenderMaleSole ProprietorNoEnumeration Date3/3/2008Last Updated9/20/2019Contact InformationPractice LocationPractice Address1919 Santa Monica Blvd Ste 210, Santa Monica, CA 90404Phone(310) 423-8828Fax(310) 423-8878Mailing LocationMailing Address1919 Santa Monica Blvd Ste 210, Santa Monica, CA 90404-1970Phone(310) 423-8828Fax(310) 423-8878Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseC149817CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseN5759Texas