Active NPI
Martin Vestal Caperton, MD
- Family Medicine Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E6271
- Practice address
- 605 S Conroe Medical Dr
Conroe, TX 77304-4722 - Phone
- (936) 539-4004
- Fax
- (936) 521-3964
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E6271 | TX | Primary |
Addresses
Primary practice location
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Mailing address
3251 Interstate Highway 45 North
Suite100
Conroe, TX 77304
Phone (936) 494-4430
Other practice location 1
3251 Interstate 45 N
suite 100
Conroe, TX 77304
Phone (936) 494-4430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118964903 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Lone Star Community Health Center, Inc. | Current | Accepting new patients | |
| Elite Heart, Lung, and Vein Surgeons | Current | Accepting new patients | |
| Sadler Clinic Association | Past | Accepting new patients |
Locations
605 S Conroe Medical Dr
Conroe, TX 77304
Interoperability endpoints
- martincaperton@lsfhc.allscriptsdirect.net
- martin.caperton.1@31617.direct.athenahealth.com
- https://api.platform.athenahealth.com/21406/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba Lone Star Family Health Center
- Family Medicine Physician
- Conroe, TX
- NPI 1568590610
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Shenandoah, TX
- NPI 1982119061
-
dba Lone Star Family Health Center
- Federally Qualified Health Center (FQHC)
- Magnolia, TX
- NPI 1710857131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1154416824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 INTERSTATE HIGHWAY 45 NORTH",
"address_2": "SUITE100",
"city": "CONROE",
"state": "TX",
"postal_code": "77304",
"telephone_number": "936-494-4430",
"fax_number": "936-788-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S CONROE MEDICAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-539-4004",
"fax_number": "936-521-3964"
}
],
"practiceLocations": [
{
"address_1": "3251 Interstate 45 N",
"address_2": "suite 100",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "77304",
"country_code": "US",
"telephone_number": "936-494-4430",
"fax_number": "936-788-8180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPERTON",
"first_name": "MARTIN",
"middle_name": "VESTAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E6271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118964903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.