Active NPI
David V Capallo, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 19649
- Practice address
- 900 Mohawk Street Ste E
Savannah, GA 31419 - Phone
- (912) 925-0067
- Fax
- (912) 629-0280
- NPI assigned
- Apr 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 17860 | SC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 19649 | GA | Primary |
Addresses
Primary practice location
900 Mohawk Street Ste E
Savannah, GA 31419
Mailing address
900 Mohawk Street Ste E
Savannah, GA 31419
Phone (912) 925-0067
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00227565C | Medicaid | GA | |
| G19649 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcapallo@gscc.encitedirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Medical College of Georgia School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 Dermis Ave
Hardeeville, SC 29927-4161
Phone (843) 208-2055
900 Mohawk St
Suite E
Savannah, GA 31419-1768
Phone (912) 925-0067
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidney P Smith MD PC | Current | Accepting new patients | |
| Hilton Head Heart PA | Past | Accepting new patients | |
| Candler ENT Practice, LLC | Past | Accepting new patients |
Locations
200 Blue Moon Xing
Ste 203
Pooler, GA 31322
Phone (912) 254-7896
200 Blue Moon Xing
Ste 202
Pooler, GA 31322
Phone (912) 819-5999
900 Mohawk St
Savannah, GA 31419
Phone (912) 920-2090
900 Mohawk St
Ste E
Savannah, GA 31419
176 Dermis Ave
Hardeeville, SC 29927
Phone (843) 208-2055
Interoperability endpoints
- dcapallo@gscc.encitedirect.com
- dcapallo@ivc.encitedirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Savannah, GA
- NPI 1477969749
-
- Cardiovascular Disease Physician
- Bluffton, SC
- NPI 1295777035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1558325845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MOHAWK STREET STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31419",
"telephone_number": "912-925-0067",
"fax_number": "912-629-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MOHAWK STREET STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31419",
"telephone_number": "912-925-0067",
"fax_number": "912-629-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPALLO",
"first_name": "DAVID",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "SC",
"license": "17860",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "19649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00227565C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G19649",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcapallo@gscc.encitedirect.com",
"affiliation": "N",
"address_1": "900 Mohawk Street Ste E",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "31419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.