NPIMap

Individual provider Active NPI

Susan C Capelle, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Morgantown, WV
National Provider Identifier
1275584872
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
20147 Issued in WV
Practice address
3496 University Ave
Morgantown, WV 26505-3001
Phone
(304) 599-7075
Fax
(304) 581-6800
NPI assigned
May 16, 2006
Last updated
Jun 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20147 WV
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 20147 WV
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 20147 WV Primary

Addresses

Primary practice location

3496 University Ave
Morgantown, WV 26505-3001

Mailing address

3496 University Ave
Morgantown, WV 26505-3001
Phone (304) 599-7075

Other identifiers 1

IdentifierTypeStateIssuer
6200220000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000382 WV Practitioner - Obstetrics/Gynecology 5193701480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susan Capelle MD PLLCGroup PAC ID 8921240177, 3 clinicians

Practice addresses (Care Compare)

3496 University Ave
Morgantown, WV 26505-3001
Phone (304) 599-7075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20147WVMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Capelle MD, PLLC Specialist CurrentSince Oct 1, 2003 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Monongalia County General Hospital Company Specialist Past Accepting new patients

Locations

3496 University Ave
Star City, WV 26505
Phone (304) 599-7075

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 6

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1275584872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 UNIVERSITY AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053001",
            "telephone_number": "304-599-7075",
            "fax_number": "304-581-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 UNIVERSITY AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053001",
            "telephone_number": "304-599-7075",
            "fax_number": "304-581-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELLE",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "20147",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "WV",
            "license": "20147",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "WV",
            "license": "20147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6200220000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.