Active NPI
Edward A Capone, D.O.
- Family Medicine Physician
- Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0003776
- Practice address
- 11528 US Highway 19
Port Richey, FL 34668-1442 - Phone
- (727) 868-2151
- Fax
- (727) 868-7379
- NPI assigned
- Jun 9, 2005
- Last updated
- Nov 30, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0003776 | FL | Primary |
Addresses
Primary practice location
11528 US Highway 19
Port Richey, FL 34668-1442
Mailing address
11528 US Highway 19
Port Richey, FL 34668-1442
Phone (727) 868-2151
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262621 | Other | FL | AVMED |
| 01372 | Other | FL | UNIVERSAL |
| 059405900 | Medicaid | FL | |
| 01-05310 | Other | FL | UNITED HEALTH CARE |
| 080074039 | Other | FL | RAILROAD MEDICARE |
| 11151702 | Other | FL | CITRUS GCMC2 |
| 2151031 | Other | FL | AETNA HMO |
| 82146 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| 4658471 | Other | FL | AETNA PPO |
| 11151701 | Other | FL | CITRUS GCMC 1 |
| 6100347 | Other | FL | GHI |
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
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9238 US Hwy 19
Port Richey, FL 34668-4853
Phone (727) 849-8491
Hospital & facility affiliations
- Baycare Home Care Inc
- Gulfside Hospice, Inc
- Solaris Healthcare Bayonet Point
- Windsor Woods Rehab and Healthcare Center
- Life Care Center of New Port Richey
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.07 of 100
- Quality
- 71.65
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0003776 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| S M S DO PA | Family Medicine | Current | Accepting new patients |
| Gulfside Palliative Care, LLC | Current | Accepting new patients | |
| Gulfside Hospice, Inc. | Family Medicine | Past | Accepting new patients |
Locations
7210 Beacon Woods Dr
Hudson, FL 34667
Phone (727) 484-7964
2061 Collier Pkwy
Land O Lakes, FL 34639
Phone (727) 845-5707
6117 Trouble Creek Rd
New Prt Rchy, FL 34653
Phone (727) 845-5707
11528 US Highway 19
Port Richey, FL 34668
Phone (727) 868-2151
11528 US Highway 19
#C
Port Richey, FL 34668
Phone (727) 868-2151
9238 US Highway 19
Port Richey, FL 34668
Phone (727) 446-5633
11034 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 688-6228
Interoperability endpoints
- ecapone296601@direct.tgh.org
- edward.capone@gulfcoastmed.eclinicaldirectplus.com
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Manager/Care Coordinator
- Zephyrhills, FL
- NPI 1750531489
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Community Based Hospice Care Agency
- Land O' Lakes, FL
- NPI 1144328881
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- New Port Richey, FL
- NPI 1225021124
-
- Community Based Hospice Care Agency
- Land O' Lakes, FL
- NPI 1144328881
-
dba Life Care Center of New Port Richey
- Skilled Nursing Facility
- New Port Richey, FL
- NPI 1871519736
Nursing home
-
- Skilled Nursing Facility
- Hudson, FL
- NPI 1043681620
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1396749131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11528 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346681442",
"telephone_number": "727-868-2151",
"fax_number": "727-868-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11528 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346681442",
"telephone_number": "727-868-2151",
"fax_number": "727-868-7379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPONE",
"first_name": "EDWARD",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0003776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "262621",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL",
"identifier": "01372",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059405900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "01-05310",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080074039",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS GCMC2",
"identifier": "11151702",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2151031",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "82146",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4658471",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS GCMC 1",
"identifier": "11151701",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6100347",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.