Individual provider Active NPI

Avery C Capone, MD

  • Plastic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1114217643
Registry record updated Jul 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD467567 Issued in PA
Practice address
5727 Centre Ave
Pittsburgh, PA 15206-3707
Phone
(412) 363-6626
Fax
(412) 363-7008
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD467567 PA
Plastic Surgery Physician 208200000X MD467567 PA Primary

Addresses

Primary practice location

5727 Centre Ave
Pittsburgh, PA 15206-3707

Mailing address

5727 Centre Ave
Pittsburgh, PA 15206-3707
Phone (412) 363-6626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190731002581 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 4789973041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R a Capone Jr MD PCGroup PAC ID 5890918361, 2 clinicians

Practice addresses (Care Compare)

5727 Centre Ave
Pittsburgh, PA 15206-3707
Phone (412) 363-6626

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
R.a. Capone, Jr., M.D., P.C. Plastic Surgery CurrentSince Sep 1, 2019 Accepting new patients
Shadyside Surgi-Center, Inc. Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

5727 Centre Ave
Pittsburgh, PA 15206
Phone (412) 363-6626

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562371200000",
    "number": "1114217643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063707",
            "telephone_number": "412-363-6626",
            "fax_number": "412-363-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063707",
            "telephone_number": "412-363-6626",
            "fax_number": "412-363-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPONE",
        "first_name": "AVERY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2019-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD467567",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD467567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.