Individual provider Active NPI

Robert Peter Vandekappelle Jr., M.D.

  • Pediatric Cardiology Physician
  • Boardman, OH
National Provider Identifier
1245406396
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
35.093752 Issued in OH
Practice address
6505 Market St FL 2
Boardman, OH 44512-3457
Phone
(330) 629-6085
Fax
(330) 629-7620
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 35.093752 OH Primary

Addresses

Primary practice location

6505 Market St FL 2
Boardman, OH 44512-3457

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 629-6085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091014000375 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 9133265614 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron CurrentSince Aug 1, 2009 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
The Metrohealth System CurrentSince Mar 27, 2018 Accepting new patients
The Metrohealth System CurrentSince Mar 27, 2018 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Aug 1, 2009 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

8423 Market St
Ste 300
Youngstown, OH 44512
Phone (330) 543-8885

6505 Market St
Bldg A
Youngstown, OH 44512
Phone (330) 651-1789

Interoperability endpoints

  • Direct secure messaging: rkappelle6250@direct.chmca.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1245406396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-629-6085",
            "fax_number": "330-629-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST FL 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-629-6085",
            "fax_number": "330-629-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEKAPPELLE",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35.093752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.