Active NPI
Marciano Baul Capati Jr., MD
- Family Medicine Physician
- Selah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60114666
- Practice address
- 715 North Park Drive
Selah, WA 98942-1308 - Phone
- (509) 697-4827
- Fax
- (509) 697-9099
- NPI assigned
- Aug 23, 2007
- Last updated
- Nov 8, 2010
- 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 | MD60114666 | WA | Primary |
Addresses
Primary practice location
715 North Park Drive
Selah, WA 98942-1308
Mailing address
732 Summitview Ave # 621
Yakima, WA 98902-3032
Phone (509) 573-3448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17209 Redmond Way
Redmond, WA 98052-4404
Phone (425) 635-6400
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
19200 N Kelsey St
Monroe, WA 98272-1431
Phone (360) 794-7994
5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 688-5488
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients | |
| Yakima Hma Physician Management LLC | Family Medicine | Past | Accepting new patients |
Locations
10223 NE 10th St
Bellevue, WA 98004
Phone (425) 453-3288
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
619 156th Ave SE
Bellevue, WA 98007
Phone (425) 637-3270
5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488
6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777
19200 N Kelsey St
Monroe, WA 98272
Phone (360) 794-5555
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
17209 Redmond Way
Redmond, WA 98052
Phone (425) 635-6400
Interoperability endpoints
- mcapati2337438@wm.providencedirect.org
Organizations & group practices 5
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
dba PMG NW Wa
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Specialist
- Bellevue, WA
- NPI 1871745703
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1508059486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SUMMITVIEW AVE # 621",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023032",
"telephone_number": "509-573-3448",
"fax_number": "509-574-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 NORTH PARK DRIVE",
"city": "SELAH",
"state": "WA",
"postal_code": "989421308",
"telephone_number": "509-697-4827",
"fax_number": "509-697-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPATI",
"first_name": "MARCIANO",
"middle_name": "BAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60114666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.