Michael Capicotto, M.D
Individual provider Active NPI Nephrology Physician · Brewster, NY
NPI 1366495095 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1366495095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 234826 (NY)
- Practice address
- 111 Clock Tower Commons
Route 22
Brewster, NY 10509-4055 - Phone
- (845) 279-5187
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- State University of New York Downstate Medical Center, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nuvance Health Medical Practice PC
Practice addresses (Care Compare)
150 Route 52
Carmel, NY 10512-1200
Phone (845) 228-2910
Hospital & facility affiliations
- DaVita Celia Dill Dialysis Center
- Putnam Hospital Center
- Vassar Brothers Medical Center
- Sharon Hospital
- Northern Dutchess Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050209000678 | NY | Practitioner - Nephrology | 2961453766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Current |
Accepting new patients | |
| Nephrology Associates of Westchester & Putnam PC | Nephrology | Past | Accepting new patients |
Locations
111 Clock Tower Cmns
#22
Brewster, NY 10509
111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
150 Route 52
Carmel, NY 10512
Phone (845) 228-2910
670 Stoneleigh Ave
Ste 123
Carmel, NY 10512
665 Stoneleigh Ave
Ste 205
Carmel, NY 10512
Phone (845) 230-2373
200 Westage Business Ctr Dr
Ste 115
Fishkill, NY 12524
Phone (845) 896-4178
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
Interoperability endpoints
- michael.capicotto@direct.hvhc.org
- mcapicotto@direct.health-quest.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 234826 | NY | Yes |
Addresses
Primary practice location
111 Clock Tower Commons
Route 22
Brewster, NY 10509-4055
Mailing address
111 Clock Tower Commons
Route 22
Brewster, NY 10509-4055
Phone (845) 279-5187
Other providers in Brewster, NY
- Lisa Butler
- Paige E Cahill
- Cynthia Calidonna
- Beth Camann
- Jessica Canonico
- Dominic James Capone
- Maximilian Capshaw
- Sabrina Nicole Carcamo
- Amie Marie Carlino
- Nancy Lynne Carpenter
All providers in Brewster, NY · Nephrology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.