Individual provider Active NPI

Robert S Caputo, D.O

  • Obstetrics & Gynecology Physician
  • Crestview, FL
National Provider Identifier
1376578146
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS0005464 Issued in FL
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

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
049071700MedicaidFL
593537819OtherFLFEDERAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000192 FL Practitioner - Obstetrics/Gynecology 4082743596 Reassigns benefits to 1 organization

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 Hospital, Miramar Beach, FL, CCN 100292
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0005464FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert S Caputo D.O.,P.a. Obstetrics & Gynecology CurrentSince Apr 1, 2010 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.