Individual provider Active NPI

Leo Joseph Capobianco, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1063483097
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
958 Issued in NV
Practice address
2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone
(702) 684-7800
Fax
(702) 684-7878
NPI assigned
Jan 28, 2006
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 958 NV Primary

Addresses

Primary practice location

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400

Mailing address

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone (702) 684-7800

Other practice location 1

1681 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone (702) 998-5549

Other practice location 2

6120 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6760
Phone (702) 602-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150618000840 NV Practitioner - General PracticePractitioner - Emergency Medicine 1658692736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors Center at Red Rock Capobianco PLLCGroup PAC ID 6204156763, 14 clinicians

Practice addresses (Care Compare)

1681 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone (702) 998-5549

2801 N Tenaya Way
Suite C
Las Vegas, NV 89128-1400
Phone (702) 684-7800

2801 N Tenaya Way C
Las Vegas, NV 89128-1400

7220 S Cimarron Rd
Suite 155
Las Vegas, NV 89113-2170
Phone (702) 602-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as apm
Quality
85.1
Promoting interoperability
88.1
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center at Red Rock Capobianco PLLC CurrentSince Mar 24, 2015 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1371 W Warm Springs Rd
Ste 120
Henderson, NV 89014
Phone (702) 888-1113

1681 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 564-1234

2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800

6120 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 213-9093

7220 S Cimarron Rd
Ste 155
Las Vegas, NV 89113
Phone (702) 577-4471

8413 W Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 247-6401

Interoperability endpoints

  • Direct secure messaging: leo.capobianco.1@32704.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1063483097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "702-684-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "702-684-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1681 W Horizon Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890123494",
            "country_code": "US",
            "telephone_number": "702-998-5549",
            "fax_number": "702-463-9268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891486760",
            "country_code": "US",
            "telephone_number": "702-602-5444",
            "fax_number": "702-602-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "LEO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.