Capital Center for Functional Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D66066 Issued in MD

Legal business name

CAPITAL CENTER FOR FUNCTIONAL MEDICINE LLC

Practice address

4701 Sangamore Rd Ste N270
Bethesda, MD 20816-2528

Phone

(240) 507-5110

NPI assigned

Jan 7, 2015

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Wong, MDNPI 1639213150

Title

Founder and Medical Director

Phone

(301) 892-2658

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Jane Schaefer, PA

  • Medical Physician Assistant
  • Henrico, VA
  • NPI 1467081745

  DC

  Medicare reassignment
• Andrew Leung-Doon Wong, M.D.

  • Internal Medicine Physician
  • Bethesda, MD
  • NPI 1639213150
  Authorized official Same address or phone

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1922496462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 GREEN PASTURE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524233",
            "telephone_number": "301-892-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE N270",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162528",
            "telephone_number": "240-507-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11325 Seven Locks Rd Ste N290",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208543205",
            "country_code": "US",
            "telephone_number": "240-507-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL CENTER FOR FUNCTIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "FOUNDER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-892-2658",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D66066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Capaldi, PSYD
• Vincent Florento Capaldi II, SC.M., M.D.
• Capital Cardiovascular & Thoracic Surgery Associates, PLLC
• Capital Care Anesthesia LLC
• Capital Center for Acupuncture & Integrative Medicine, LLC (Bethesda Acupuncture & Wellness Medicine)
• Capital Eye Care LLC
• Capital Health Managers, LLC
• Capital Healthcare PC (Bethesda Immediate Care)
• Capital Home Care Services LLC
• Capital Imaging LLC

• Internal Medicine Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.