Individual provider Active NPI

John Capurro, MD

  • Family Medicine Physician
  • Milford, OH
National Provider Identifier
1720011380
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35058936 Issued in OH
Practice address
1171 State Route 28 Ste A100
Milford, OH 45150-2154
Phone
(513) 831-4811
Fax
(513) 831-0169
NPI assigned
Jul 8, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35058936 OH Primary

Addresses

Primary practice location

1171 State Route 28 Ste A100
Milford, OH 45150-2154

Mailing address

1171 State Route 28 Ste A100
Milford, OH 45150-2154
Phone (513) 831-4811

Other identifiers 1

IdentifierTypeStateIssuer
0791700MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcapurro67576@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000020 OH Practitioner - Family Practice 3072410067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

1171 State Route 28
Milford, OH 45150-2154
Phone (513) 831-4811

2123 Auburn Ave
Cincinnati, OH 45219-2906

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35058936OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
John R Capurro MD, Inc Family Medicine PastSince Jan 1, 2004 Accepting new patients

Locations

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

796 Old State Route 74
Ste 100
Cincinnati, OH 45245
Phone (513) 752-5800

1171 State Route 28
Ste A100
Milford, OH 45150
Phone (513) 831-4811

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1720011380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 STATE ROUTE 28 STE A100",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502154",
            "telephone_number": "513-831-4811",
            "fax_number": "513-831-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 STATE ROUTE 28 STE A100",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502154",
            "telephone_number": "513-831-4811",
            "fax_number": "513-831-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPURRO",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35058936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791700",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcapurro67576@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1171 State Route 28 Ste A100",
            "city": "Milford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451502154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.