Charles A Capasso, MD

Individual provider Active NPI Occupational Medicine Physician · Menasha, WI

NPI 1528053097 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1528053097
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Medicine Physician 2083X0100X
License
22991 (WI)
Practice address
1186 Appleton Rd
Menasha, WI 54952-1906
Phone
(920) 727-8700
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22991WIMDOccupational Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 22991 WI Yes

Addresses

Primary practice location

1186 Appleton Rd
Menasha, WI 54952-1906

Mailing address

1186 Appleton Rd
Menasha, WI 54952-1906
Phone (920) 727-8700

Other identifiers

IdentifierTypeStateIssuer
30674300MedicaidWI

Other providers in Menasha, WI

All providers in Menasha, WI · Occupational Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.