Individual provider Active NPI

Dan J Capampangan, M.D.

  • Neurology Physician
  • Gilbert, AZ
National Provider Identifier
1114956273
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
37418 Issued in AZ
Practice address
3507 S Mercy Rd Ste 101
Gilbert, AZ 85297-0441
Phone
(480) 926-0644
Fax
(480) 926-0645
NPI assigned
Jul 1, 2006
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 37418 AZ Primary

Addresses

Primary practice location

3507 S Mercy Rd Ste 101
Gilbert, AZ 85297-0441

Mailing address

3507 S Mercy Rd Ste 101
Gilbert, AZ 85297-0441
Phone (480) 926-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091002000007 AZ Practitioner - Neurology 1254477425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Neurology P CGroup PAC ID 6507757234, 24 clinicians

Practice addresses (Care Compare)

4530 E Muirwood Dr
Suite 111
Phoenix, AZ 85048-7693
Phone (480) 961-2365

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Neurology P C Neurology CurrentSince Jan 18, 2025 Accepting new patients
Neurosin PLLC CurrentSince Oct 15, 2021 Accepting new patients
Gilbert Neurology Partners PLLC Neurology CurrentSince Oct 15, 2021 Accepting new patients

Locations

3507 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 926-0644

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

4530 E Muirwood Dr
Ste 111
Phoenix, AZ 85048
Phone (480) 551-5469

7054 E Cochise Rd
Ste B230
Scottsdale, AZ 85253
Phone (480) 471-6132

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.

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1114956273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 S MERCY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970441",
            "telephone_number": "480-926-0645",
            "fax_number": "480-926-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 S MERCY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970441",
            "telephone_number": "480-926-0644",
            "fax_number": "480-926-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPAMPANGAN",
        "first_name": "DAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "37418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.