Active NPI
Douglas A. Cappiello, MD
- Ophthalmology Physician
- Springfield, VA
National Provider Identifier
1114005972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 010245163
- Practice address
- 6501 Loisdale CT
12TH Floor, Nova Administration
Springfield, VA 22150-1826 - Phone
- (703) 922-1022
- NPI assigned
- Nov 1, 2006
- Last updated
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 010245163 | VA | Primary |
| Ophthalmology Physician | 207W00000X | MD039186 | DC | |
| Ophthalmology Physician | 207W00000X | D69882 | MD |
Addresses
Primary practice location
6501 Loisdale CT
12TH Floor, Nova Administration
Springfield, VA 22150-1826
Mailing address
6501 Loisdale CT
12TH Floor, Nova Administration
Springfield, VA 22150-1826
Phone (703) 922-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G503610 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD039186 | DC | MD | Ophthalmology Physician |
| D69882 | MD | MD | Ophthalmology Physician |
| 010245163 | VA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1114005972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 LOISDALE CT",
"address_2": "12TH FLOOR, NOVA ADMINISTRATION",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501826",
"telephone_number": "703-922-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 LOISDALE CT",
"address_2": "12TH FLOOR, NOVA ADMINISTRATION",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501826",
"telephone_number": "703-922-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPIELLO",
"first_name": "DOUGLAS",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "010245163",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DC",
"license": "MD039186",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D69882",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G503610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.