David Capone, DO
Individual provider Active NPI Internal Medicine Physician · Southampton, NY
NPI 1629385174 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1629385174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 262456 (NY)
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8200
- NPI assigned
- Sep 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Ralph M Gibson M D P C
Meeting House Lane Medical Practice PC
Practice addresses (Care Compare)
234 Hampton Rd
Southampton, NY 11968-5028
Phone (631) 324-4700
240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-8400
325 Meeting House LN
Southampton, NY 11968-7000
3330 Noyac Rd
Sag Harbor, NY 11963-1930
Phone (631) 725-2112
Hospital & facility affiliations
- Extended Home Care
- Suny/Stony Brook University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130926000095 | NY | Practitioner - Internal Medicine | 1557505864 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262456 | NY | MD | Internal Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Internal Medicine | Current |
Accepting new patients |
| Ralph M Gibson M D P C | Internal Medicine | Current |
Accepting new patients |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 262456 | NY | Yes |
| Hospitalist Physician | 208M00000X | 262456 | NY |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
240 Meeting House LN
Southampton, NY 11968-5009
Other providers in Southampton, NY
- Samir Afzal Bute
- Joan Marie Butler
- Theodore J Calabrese
- Sean Thomas Callagy
- Christine Cantrell
- Colleen Carter
- Michelle T. Cartier
- Rebecca Diane Casabianca
- Catherine Poulos Psychiatric Nurse Practitioner PLLC
- Giovanni Cervini
All providers in Southampton, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.