Individual provider Active NPI

Mari Katrina D Capupus, PA

  • Medical Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1740517945
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06484 Issued in TX
Practice address
2706 W Mount Dr
Corpus Christi, TX 78414-3211
Phone
(361) 980-0803
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06484 TX Primary

Addresses

Primary practice location

2706 W Mount Dr
Corpus Christi, TX 78414-3211

Mailing address

2706 W Mount Dr
Corpus Christi, TX 78414-3211
Phone (361) 980-0803

Other names 1

  • Ms. Mari A Capupus Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000361 TX Practitioner - Physician Assistant 7719025410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Rabagos Health Care PLLCGroup PAC ID 5991926032, 17 clinicians

Practice addresses (Care Compare)

2102 FM
Suite 2165
Rockport, TX 78382-4345
Phone (361) 556-5770

3817 S Padre Island Dr
Statcare Minor Emergency Clinic
Corpus Christi, TX 78415-2913
Phone (361) 334-2035

500 E Caesar
Kingsville, TX 78363-6322

500 E Caesar Ave
Kingsville, TX 78363-6322
Phone (361) 516-0800

6646 S Staples St
Suite 122
Corpus Christi, TX 78413-5426
Phone (713) 893-6214

7201 Mansions Dr
Corpus Christi, TX 78414-3710
Phone (361) 334-1040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
QC Professional PLLC Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients
Alon Family Health PLLC Past Accepting new patients
Jose Perez MD Past Accepting new patients

Organizations & group practices 7

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1740517945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 W MOUNT DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143211",
            "telephone_number": "361-980-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 W MOUNT DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143211",
            "telephone_number": "361-980-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUPUS",
        "first_name": "MARI KATRINA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARI",
            "last_name": "CAPUPUS",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.