Active NPI
Robert S Caputo, D.O
- Obstetrics & Gynecology Physician
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS0005464
- Practice address
- 194 E Redstone Ave
Suite B
Crestview, FL 32539-6428 - Phone
- (850) 398-8873
- Fax
- (850) 398-8897
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS0005464 | FL | Primary |
Addresses
Primary practice location
194 E Redstone Ave
Suite B
Crestview, FL 32539-6428
Mailing address
194 E Redstone Ave
Suite B
Crestview, FL 32539-5368
Phone (850) 398-8873
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049071700 | Medicaid | FL | |
| 593537819 | Other | FL | FEDERAL TAX IDENTIFICATIO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
114 Cedar Ave
Crestview, FL 32536-2734
Phone (850) 398-8873
194 E Redstone Ave
Suite B
Crestview, FL 32539-5368
Hospital & facility affiliations
- Sacred Heart Hospital on the Emerald Coast
- North Okaloosa Medical Center
- HCA Florida Twin Cities Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0005464 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert S Caputo D.O.,P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
194 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 398-8873
114 Cedar Ave
Crestview, FL 32536
Phone (850) 398-8873
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Crestview, FL
- NPI 1790089407
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1376578146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 E REDSTONE AVE",
"address_2": "SUITE B",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395368",
"telephone_number": "850-398-8873",
"fax_number": "850-398-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 E REDSTONE AVE",
"address_2": "SUITE B",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325396428",
"telephone_number": "850-398-8873",
"fax_number": "850-398-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUTO",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS0005464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049071700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX IDENTIFICATIO",
"identifier": "593537819",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.