Individual provider Active NPI

Mariam Cappiello, M.D.

  • Pediatric Anesthesiology Physician
  • Natick, MA
National Provider Identifier
1427119106
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
242131 Issued in MA
Practice address
4 Pleasant Street S.
Natick, MA 01760-0176
Phone
(617) 804-6584
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 222079 MA
Pediatric Anesthesiology Physician 207LP3000X 242131 MA Primary

Addresses

Primary practice location

4 Pleasant Street S.
Natick, MA 01760-0176

Mailing address

15 Bretton Rd
Dover, MA 02030-2505
Phone (617) 721-3741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222079MAMDAnesthesiology Physician
242131MAMDPediatric Anesthesiology Physician

Interoperability endpoints

  • Direct secure messaging: mcappiello228838@direct.bostonchildrens.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1427119106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRETTON RD",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302505",
            "telephone_number": "617-721-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PLEASANT STREET S.",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017600176",
            "telephone_number": "617-804-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPIELLO",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "222079",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "MA",
            "license": "242131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.