Individual provider Active NPI

David V Capallo, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Savannah, GA
National Provider Identifier
1558325845
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
19649 Issued in GA
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

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00227565CMedicaidGA
G19649MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcapallo@gscc.encitedirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100525000254 GA Practitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 4183528094 Reassigns benefits to 1 organization
I20190923001222 SC Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 4183528094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sidney P Smith MD PCGroup PAC ID 0042206807, 20 clinicians

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

ProcedureNumber of procedures
Varicose vein removal130

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney P Smith MD PC CurrentSince Aug 15, 2020 Accepting new patients
Hilton Head Heart PA Past Accepting new patients
Candler ENT Practice, LLC PastSince Aug 15, 2020 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

  • Direct secure messaging: dcapallo@gscc.encitedirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.