Individual provider Active NPI

Alexander Thomas Capuco, MD

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1093343808
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD600001783 Issued in DC
Practice address
3700 O St NW
Washington, DC 20057-0002
Phone
(202) 687-6985
Fax
(202) 687-6158
NPI assigned
Mar 28, 2020
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD600001783 DC Primary

Addresses

Primary practice location

3700 O St NW
Washington, DC 20057-0002

Mailing address

3700 O St NW
Washington, DC 20057-0002
Phone (202) 687-6985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240903003013 MD Practitioner - Psychiatry 8921547076 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD600001783DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Dec 9, 2025 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1093343808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 O ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200570002",
            "telephone_number": "202-687-6985",
            "fax_number": "603-704-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 O ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200570002",
            "telephone_number": "202-687-6985",
            "fax_number": "202-687-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUCO",
        "first_name": "ALEXANDER",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD600001783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.