KAPIL PURI MD P A
NPI 1962672337
Urology in Niceville, FL
About Kapil Puri Md P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAPIL PURI MD P A (NPI 1962672337) is a healthcare organization registered as an urology in Niceville, Florida and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Kapil Puri, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kapil Puri Md P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kapil Puri MD P A, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1094813
Kapil Puri MD PA · Niceville, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kapil Puri MD P A's NPI number?
The NPI number for Kapil Puri MD P A is 1962672337. It was assigned to this organization in the NPPES registry on March 2, 2008.
Where is Kapil Puri MD P A located?
Kapil Puri MD P A is located at 1001 College Blvd W Ste H, Niceville, FL 32578. The listed phone number is (850) 279-4600.
What is Kapil Puri MD P A's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Kapil Puri MD P A enrolled in Medicare?
Yes. Kapil Puri MD P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kapil Puri MD P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Kapil Puri MD P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kapil Puri MD P A hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1094813) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kapil Puri MD P A was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kapil Puri Md P A · NPI 1962672337
Urology organization in Niceville, Florida. Organization record, active in the CMS NPPES registry since March 2, 2008.
## Identity
- **NPI:** 1962672337 (Entity type: Organization)
- **Enumerated:** March 2, 2008
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Kapil Puri, PRESIDENT
## Practice location
- **Address:** 1001 COLLEGE BLVD W, STE H, Niceville, FL 32578-1099
- **Phone:** (850) 279-4600 · **Fax:** (850) 279-4566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Urology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2008
- **Other identifiers:** Other AK816 (FL); Medicaid 270922800 (FL); Medicare UPIN I19133 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962672337) · Data from the CMS NPPES public registry.