Look up the most recent NPI and PECOS records

Kapil Gangwal

Internal Medicine

Allopathic & Osteopathic Physicians

1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1684

PECOS Enrollment

Based on the most recent information from CMS, provider Kapil Gangwal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891967683
Provider Type
Individual
Full Name
Gangwal, Kapil
Title
Dr.
Credential
MBBS

Gender
Male
Sole Proprietor
No
Enumeration Date
4/1/2008
Last Updated
5/20/2021

Contact Information

Practice Location

1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1684

(425) 261-4925

Unlisted Fax

Mailing Location

PO Box 3360, Portland, OR 97208-3360

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License P21899 Maryland

Kapil Gangwal

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wander, Pandora Lucrezia 'Luke'

Housel, Michelle M

Pilmer, Gregory M

Winningham, Jefferey

Fitelson, Martha

Nelson, Amy D

Lowrey, Geoffrey

Vannortwick, Amy

Tavengwa, Hwinei Joanna

Mccreery, Sierra