Active NPI
Mary Elizabeth Capps, M.D.
- Pediatrics Physician
- Cary, NC
National Provider Identifier
1518926294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200400829
- Practice address
- 101 SW Cary Pkwy
Suite 270
Cary, NC 27511-5562 - Phone
- (919) 467-5543
- Fax
- (919) 469-2391
- NPI assigned
- Mar 21, 2006
- Last updated
- Apr 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200400829 | NC | Primary |
Addresses
Primary practice location
101 SW Cary Pkwy
Suite 270
Cary, NC 27511-5562
Mailing address
101 SW Cary Pkwy
Suite 270
Cary, NC 27511-5562
Phone (919) 467-5543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89138AW | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400829 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Pediatric Center, P.a. | Current | Accepting new patients |
Locations
105 Ridge View Dr
Cary, NC 27511
Phone (919) 467-5543
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Cary, NC
- NPI 1447214242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1518926294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SW CARY PKWY",
"address_2": "SUITE 270",
"city": "CARY",
"state": "NC",
"postal_code": "275115562",
"telephone_number": "919-467-5543",
"fax_number": "919-469-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SW CARY PKWY",
"address_2": "SUITE 270",
"city": "CARY",
"state": "NC",
"postal_code": "275115562",
"telephone_number": "919-467-5543",
"fax_number": "919-469-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200400829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89138AW",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.