Mark A Cappel, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME93687 Issued in FL

Practice address

100 Executive Way Ste 114
Ponte Vedra Beach, FL 32082-2713

Phone

(904) 842-3632

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Dermatology

Education

Pennsylvania State University College of Medicine, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Magnifydx LLC

  • Dermatology Physician
  • Ponte Vedra Beach, FL
  • NPI 1043888985
  Medicare reassignment NPD Authorized official
• Mark and Kambour MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami Lakes, FL
  • NPI 1760456172
  Medicare reassignment NPD
• John B Harris MD PA

  • Plastic Surgery Physician
  • Ponte Vedra Beach, FL
  • NPI 1679596985
  NPD

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1780668657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 114",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822713",
            "telephone_number": "904-842-3632",
            "fax_number": "877-624-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 114",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822713",
            "telephone_number": "904-842-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPEL",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME93687",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME93687",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME93687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric S Burgess, D.M.D.,F.A.C.D.
• Robert W. Burk III, M.D.
• Alexis Buster, RBT
• Daniel M Calloway, MD
• Katie Longo Cantrell, MD
• Victor M Cardenas, M.D.
• Jeanette Carlsen
• Mackenzie Carr
• Levan Angella Carter, APRN11039417
• Michael Edward Carver, H.A.S.

• Dermatology Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.

Verify at the official NPI Registry.