Patrizio Capasso, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

36104533 Issued in IL

Practice address

3621 Barrow Wood LN
Lexington, KY 40502-6107

Phone

(702) 234-7430

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Affiliated Surgeons of Rockford LLC

  • Surgery Physician
  • Rockford, IL
  • NPI 1851394696

  Vascular & Interventional Radiology

  NPD (past)
• Central Illinois Radiological Associates, LTD.

  • Diagnostic Radiology Physician
  • Peoria, IL
  • NPI 1538192828
  NPD (past)
• Rockford Health Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  NPD (past)
• Rockford Radiology Assoc

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1740247535
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1306803192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 BARROW WOOD LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026107",
            "telephone_number": "702-234-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 BARROW WOOD LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026107",
            "telephone_number": "702-234-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPASSO",
        "first_name": "PATRIZIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36104533",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KY",
            "license": "42595",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "42595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104533",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100077850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Cantrell
• Emilee Marie Cantrell, RBT
• Haley Cantrell, BSN, RN
• Rebecca Cantrell
• Edward Cantu, MD
• Gilson J Capilouto, PHD
• Seema Capoor, M.D.
• Emily Capps
• Shanea Capps
• Junior F. Carbajal, CRNA

• Diagnostic Radiology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.