Active NPI
Stefani L. Capone, M.D.
- Medical Oncology Physician
- Winter Park, FL
National Provider Identifier
1891753729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME0063539
- Practice address
- 460 N Orlando Ave Ste 200
Winter Park, FL 32789-2988 - Phone
- (407) 898-5452
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | ME0063539 | FL | |
| Medical Oncology Physician | 207RX0202X | ME0063539 | FL | Primary |
Addresses
Primary practice location
460 N Orlando Ave Ste 200
Winter Park, FL 32789-2988
Mailing address
PO Box 102222
Attn: Credentialing Department
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
2501 N Orange Ave
Suite 381
Orlando, FL 32804-4623
Phone (407) 898-5452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252079600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0063539 | FL | MD | Hematology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1891753729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"address_2": "ATTN: CREDENTIALING DEPARTMENT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 N ORLANDO AVE STE 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892988",
"telephone_number": "407-898-5452"
}
],
"practiceLocations": [
{
"address_1": "2501 N Orange Ave",
"address_2": "SUITE 381",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328044623",
"country_code": "US",
"telephone_number": "407-898-5452",
"fax_number": "407-894-1183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPONE",
"first_name": "STEFANI",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "FL",
"license": "ME0063539",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME0063539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252079600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.