Individual provider Active NPI

Peter Alfred John Capelli, MD

  • Family Medicine Physician
  • Salem, WI
National Provider Identifier
1184253197
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1184253197 Issued in WI
Practice address
7525 242ND Ave
Salem, WI 53168-9483
Phone
(262) 316-7103
Fax
(262) 316-7123
NPI assigned
Apr 2, 2020
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 1184253197 WI Primary

Addresses

Primary practice location

7525 242ND Ave
Salem, WI 53168-9483

Mailing address

7525 242ND Ave
Salem, WI 53168-9483
Phone (262) 316-7103

Other practice location 1

7137 236th Ave Ste 103
Salem, WI 53168-8975
Phone (262) 843-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240125004333 WI Practitioner - Family Practice 4385097302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

7137 236TH Ave
Suite 101
Salem, WI 53168-8975
Phone (262) 925-5060

Hospital & facility affiliations

Procedures performed for Medicare patients

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1184253197WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Healthcare SC Current Accepting new patients
James M. Bury, MD, LTD. Family Medicine Current Accepting new patients
Paddock Lake Family Practice, SC Family Medicine Current Accepting new patients
Peter Capelli MD S.C. Family Medicine CurrentSince Dec 3, 2023 Accepting new patients

Locations

7137 236th Ave
Ste 103
Salem, WI 53168
Phone (262) 496-5602

7525 242nd Ave
Salem, WI 53168
Phone (262) 316-7103

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Shore at HomeGlendale, WI, CCN 521608 Hospice Contracted Managing Employee Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1184253197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 242ND AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689483",
            "telephone_number": "262-316-7103",
            "fax_number": "262-316-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 242ND AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689483",
            "telephone_number": "262-316-7103",
            "fax_number": "262-316-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7137 236th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "WI",
            "postal_code": "531688975",
            "country_code": "US",
            "telephone_number": "262-843-4422",
            "fax_number": "262-843-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPELLI",
        "first_name": "PETER",
        "middle_name": "ALFRED JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "1184253197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WI

Sources for this page

Verify at the official NPI Registry.