Individual provider Active NPI

Eric Edward Capriles, M.D

  • Surgery Physician
  • Brandon, FL
National Provider Identifier
1194998997
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME166363 Issued in FL
Practice address
519 Medical Oaks Ave
Brandon, FL 33511-5961
Phone
(813) 685-7995
Fax
(813) 643-8777
NPI assigned
Apr 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 43714 AZ
Surgery Physician 208600000X ME166363 FL Primary

Addresses

Primary practice location

519 Medical Oaks Ave
Brandon, FL 33511-5961

Mailing address

519 Medical Oaks Ave
Brandon, FL 33511-5961
Phone (813) 685-7995

Other identifiers 3

IdentifierTypeStateIssuer
43714OtherAZAZ LICENSE
555715MedicaidAZ
001623OtherGAPHYSICIAN, GENERAL SURGER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101109000445 AZ Practitioner - General Surgery 3779778352 Reassigns benefits to 1 organization
I20240903002503 FL Practitioner - General Surgery 3779778352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Surgical Associates PAGroup PAC ID 3072546266, 9 clinicians

Practice addresses (Care Compare)

519 Medical Oaks Ave
Brandon, FL 33511-5961
Phone (813) 685-7995

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • Baycare Hospital Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100362

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43714AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Suncoast Surgical Associates P a Surgery CurrentSince Sep 1, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 20, 2010 Accepting new patients
Physicians Professional Alliance, LLC Surgery CurrentSince Aug 4, 2024 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Sep 20, 2010 Accepting new patients

Locations

3104 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 681-8720

1739 E Beverly Ave
Ste 200
Kingman, AZ 86409
Phone (928) 263-4722

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

519 Medical Oaks Ave
Brandon, FL 33511
Phone (813) 657-1414

6901 Simmons Loop
Ste 205
Riverview, FL 33578

Organizations & group practices 5

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": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1194998997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115961",
            "telephone_number": "813-685-7995",
            "fax_number": "813-643-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115961",
            "telephone_number": "813-685-7995",
            "fax_number": "813-643-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRILES",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "43714",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME166363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "43714",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555715",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN, GENERAL SURGER",
            "identifier": "001623",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.