Individual provider Active NPI

Michael Cappelli, M.D.

  • Radiation Oncology Physician
  • Demopolis, AL
National Provider Identifier
1194702928
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
40648 Issued in AL
Practice address
105 US Highway 80 E
Demopolis, AL 36732-3605
Phone
(334) 287-2647
Fax
(334) 287-2405
NPI assigned
Dec 22, 2005
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X M5658 TX
Radiation Oncology Physician 2085R0001X 4301056847 MI
Radiation Oncology Physician 2085R0001X 40648 AL Primary

Addresses

Primary practice location

105 US Highway 80 E
Demopolis, AL 36732-3605

Mailing address

1400 Afflink PL Ste 101
Tuscaloosa, AL 35406-2452
Phone (205) 366-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200629000931 AL Practitioner - Radiation Oncology 2860529872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Creighton University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Hwy 80 E
Demopolis, AL 36732-3605
Phone (334) 287-2647

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.71 of 100Reported as group
Quality
65.41
Promoting interoperability
90
Improvement activities
40
Cost
78.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5658TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Physician Network, P.C. CurrentSince Jul 6, 2020 Accepting new patients
Southeast Physician Network, P.C. Radiation Oncology CurrentSince Jul 6, 2020 Accepting new patients
The Radiology Clinic LLC Past Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

1023 Medical Center Pkwy
Ste 110
Selma, AL 36701
Phone (334) 375-4777

1400 Afflink Pl
Ste 101
Tuscaloosa, AL 35406
Phone (205) 366-9740

171 Carraway Dr
Winfield, AL 35594
Phone (205) 487-4405

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 1

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1194702928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AFFLINK PL STE 101",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062452",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 US HIGHWAY 80 E",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323605",
            "telephone_number": "334-287-2647",
            "fax_number": "334-287-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLI",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "M5658",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301056847",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "40648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demopolis, AL

Sources for this page

Verify at the official NPI Registry.