Individual provider Active NPI

Paul D Di Capua, MD, MBA

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1295037430
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME125124 Issued in FL
Practice address
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone
(866) 849-0692
NPI assigned
Nov 19, 2010
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 67053 AZ
Internal Medicine Physician 207R00000X MD-56351 IA
Internal Medicine Physician 207R00000X T8799 TX
Internal Medicine Physician 207R00000X 51769 AL
Internal Medicine Physician 207R00000X MD-26773 HI
Internal Medicine Physician 207R00000X 101269800 VA
Internal Medicine Physician 207R00000X C1-0028574 DE
Internal Medicine Physician 207R00000X 85198 SC
Internal Medicine Physician 207R00000X 01098818A IN
Internal Medicine Physician 207R00000X 2020-03593 NC
Internal Medicine Physician 207R00000X 57 GA
Internal Medicine Physician 207R00000X 036178383 IL
Internal Medicine Physician 207R00000X 35.144508 OH
Internal Medicine Physician 207R00000X ME125124 FL Primary
Internal Medicine Physician 207R00000X 57123 CT

Addresses

Primary practice location

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (203) 533-5911

Other practice location 1

1055 Howell Mill Rd NW Fl 8
Atlanta, GA 30318-5557
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, VA, SC, TX, AZ6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20151208002016 FL Practitioner - Internal Medicine 5294990420 Reassigns benefits to 1 organization
I20200817000401 NC Practitioner - Internal Medicine 5294990420 Reassigns benefits to 1 organization
I20200908000747 VA Practitioner - Internal Medicine 5294990420 Reassigns benefits to 1 organization
I20230810003796 SC Practitioner - Internal Medicine 5294990420 Reassigns benefits to 1 organization
I20231029000076 TX Practitioner - Internal Medicine 5294990420 Reassigns benefits to 1 organization
I20240531003316 AZ Practitioner - Internal Medicine 5294990420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51769ALMDInternal Medicine Physician
C1-0028574DEMDInternal Medicine Physician
MD-26773HIMDInternal Medicine Physician
MD-56351IAMDInternal Medicine Physician
036178383ILMDInternal Medicine Physician
01098818AINMDInternal Medicine Physician
2020-03593NCMDInternal Medicine Physician
85198SCMDInternal Medicine Physician
101269800VAMDInternal Medicine Physician
57GAMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC Internal Medicine CurrentSince May 21, 2020 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Jul 1, 2022 Accepting new patients
Devoted Medical NC PC CurrentSince May 17, 2024 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Jul 25, 2023 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

444 Foxon Rd
East Haven, CT 06513
Phone (203) 407-3500

2801 SW 149th Ave
Ste 100
Miramar, FL 33027

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (866) 849-0682

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (346) 768-8399

2015 Staples Mill Rd
Richmond, VA 23230
Phone (804) 514-0296

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1295037430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "203-533-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Howell Mill Rd NW Fl 8",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303185557",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI CAPUA",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "67053",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-56351",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T8799",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "51769",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-26773",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "101269800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0028574",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "85198",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01098818A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-03593",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "57",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036178383",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.144508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME125124",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "57123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.