Individual provider Active NPI

Edward A Capone, D.O.

  • Family Medicine Physician
  • Port Richey, FL
National Provider Identifier
1396749131
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0003776 Issued in FL
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
262621OtherFLAVMED
01372OtherFLUNIVERSAL
059405900MedicaidFL
01-05310OtherFLUNITED HEALTH CARE
080074039OtherFLRAILROAD MEDICARE
11151702OtherFLCITRUS GCMC2
2151031OtherFLAETNA HMO
82146OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
4658471OtherFLAETNA PPO
11151701OtherFLCITRUS GCMC 1
6100347OtherFLGHI

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
I20100301000216 FL Practitioner - Family Practice 3274678362 Reassigns benefits to 2 organizations

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
SMS DO PAGroup PAC ID 0143207530, 22 clinicians

Practice addresses (Care Compare)

9238 US Hwy 19
Port Richey, FL 34668-4853
Phone (727) 849-8491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
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

LicenseStateTypeSpecialty
OS0003776FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
S M S DO PA Family Medicine CurrentSince Jul 1, 1977 Accepting new patients
Gulfside Palliative Care, LLC CurrentSince Dec 29, 2021 Accepting new patients
Gulfside Hospice, Inc. Family Medicine PastSince Dec 29, 2021 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

  • Direct secure messaging: ecapone296601@direct.tgh.org
  • Direct secure messaging: edward.capone@gulfcoastmed.eclinicaldirectplus.com
  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.