Active NPI
Ralph Thomas Decapua, PA-C
- Physician Assistant
- Sarasota, FL
National Provider Identifier
1275533507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101882
- Practice address
- 1950 Arlington St Ste 310
Sarasota, FL 34239-3513 - Phone
- (941) 917-6300
- Fax
- (941) 917-6306
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101882 | FL | Primary |
Addresses
Primary practice location
1950 Arlington St Ste 310
Sarasota, FL 34239-3513
Mailing address
PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291242200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Langhorne Cardiology Consultants, Inc. | Past | Accepting new patients | |
| Vascular and Surgery Assoc | Past | Accepting new patients | |
| Cardiothoracic & Vascular Surgery, PA | Past | Accepting new patients |
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.
-
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- Pensacola, FL
- NPI 1306047873
-
dba Cardiology Consultants
- Interventional Cardiology Physician
- Pensacola, FL
- NPI 1013977941
-
- Specialist
- Sarasota, FL
- NPI 1083772727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1275533507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863407",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 ARLINGTON ST STE 310",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342393513",
"telephone_number": "941-917-6300",
"fax_number": "941-917-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECAPUA",
"first_name": "RALPH",
"middle_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291242200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.