Rene Capulong, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME17644 Issued in FL

Practice address

2511 Junior St
Orange City, FL 32763-8000

Phone

(386) 736-7600

Fax

(386) 738-4649

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Asthma Allergy Care Center PL

  • Allergy Physician
  • Lake Mary, FL
  • NPI 1346299005
  NPD (past)
• Memorial Hospital-West Volusia Inc

  • Psychiatric Hospital Unit
  • Ormond Beach, FL
  • NPI 1265529887
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316927130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "DE LEON SPRINGS",
            "state": "FL",
            "postal_code": "321300310",
            "telephone_number": "386-736-7600",
            "fax_number": "386-738-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 JUNIOR ST",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638000",
            "telephone_number": "386-736-7600",
            "fax_number": "386-738-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPULONG",
        "first_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME17644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053163400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryann Cahill
• Calm Corner Therapy LLC
• Crystal Dawn Campbell, LCSW
• John Buckley Canalizo, MD
• Alfred H Cann III, O.D.
• Care Life Outreach Inc.
• Carenow Pharmacy LLC
• Carepack Pharmacy LLC
• Carlin Support Coordination, LLC
• Alexa Rose Caron, DC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.