Jason P Cappuzzello, DO
Individual provider Active NPI Hospitalist Physician · Columbus, OH
NPI 1215112149 · NPPES record last updated Mar 16, 2011
Key facts
- NPI
- 1215112149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 34.009239 (OH)
- Practice address
- 3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912 - Phone
- (614) 268-8164
- Fax
- (614) 268-8406
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Ohio University, College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Ohio Primary Care Physicians, Inc.
Practice addresses (Care Compare)
4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665
625 Africa Rd
Westerville, OH 43082-0002
655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495
Hospital & facility affiliations
- Riverside Methodist Hospital
- Dublin Methodist Hospital
- Grant Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080626000247 | OH | Practitioner - Internal Medicine | 8224100839 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.009239 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Internal Medicine | Current |
Accepting new patients |
| Central Ohio Primary Care Physicians, Inc. | Internal Medicine | Current |
Accepting new patients |
| Central Ohio Primary Care Physicians, Inc. | Current |
Accepting new patients | |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Central Ohio Primary Care Physicians Inc | Hospitalist | Current | Accepting new patients |
| Ohiohealth Corporation | Past | Accepting new patients | |
| Ohiohealth Corporation | Past | Accepting new patients |
Locations
3555 Olentangy River Rd
Ste 1080
Columbus, OH 43214
Phone (614) 268-8164
Dept L3652
Columbus, OH 43260
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
7450 Hospital Dr
Ste 290
Dublin, OH 43016
Phone (614) 544-8111
655 Africa Rd
Westerville, OH 43082
Interoperability endpoints
- jcappuzzello19009@copcp.medicity.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 34.009239 | OH | Yes |
| Internal Medicine Physician | 207R00000X | 34.009239 | OH |
Addresses
Primary practice location
3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912
Mailing address
3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912
Phone (614) 268-8164
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2835641 | Medicaid | OH |
Other providers in Columbus, OH
- Catherine Espiritu Caplin
- Jesse Lee Capone
- Amanda Caporale
- Paige Cappelucci
- Lawrence A Cappetto
- Kendra Lea Capra
- Amanda Capriato
- Capstone Dental Downtown, Dr Matthew Snipes, LLC
- Capstone Dental Snipes and Piper LLC
- Jennifer Ann Captain
All providers in Columbus, OH · Hospitalist Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.