Active NPI
Amy Beth Capoocia, DO
- Family Medicine Physician
- Glenmoore, PA
National Provider Identifier
1386615003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS013204
- Practice address
- 2946 Conestoga Rd
Glenmoore, PA 19343-9516 - Phone
- (484) 202-0807
- Fax
- (484) 930-0573
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS 9782 | FL | |
| Family Medicine Physician | 207Q00000X | OS013204 | PA | Primary |
Addresses
Primary practice location
2946 Conestoga Rd
Glenmoore, PA 19343-9516
Mailing address
2946 Conestoga Rd
Glenmoore, PA 19343-9516
Phone (484) 202-0807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 9782 | FL | MD | Family Medicine Physician |
| OS013204 | PA | MD | Family Medicine Physician |
Interoperability endpoints
- amy.capoocia@560673959247876.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1386615003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 CONESTOGA RD",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "193439516",
"telephone_number": "484-202-0807",
"fax_number": "484-930-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2946 CONESTOGA RD",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "193439516",
"telephone_number": "484-202-0807",
"fax_number": "484-930-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOOCIA",
"first_name": "AMY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS 9782",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS013204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenmoore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.