Anthony L Capasso, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 0069518 Issued in FL

Practice address

1351 13TH Ave S Ste 105-110
Jacksonville Beach, FL 32250-3234

Phone

(904) 694-0992

Fax

(904) 595-5344

NPI assigned

Jun 21, 2005

Last updated

May 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880

  Internal Medicine

  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• First Coast Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1528197993
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1932105434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 13TH AVE S STE 110",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503237",
            "telephone_number": "904-694-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 13TH AVE S STE 105-110",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503234",
            "telephone_number": "904-694-0992",
            "fax_number": "904-595-5344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10950 San Jose Blvd Ste 41",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322236671",
            "country_code": "US",
            "telephone_number": "904-619-0130",
            "fax_number": "904-619-0978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPASSO",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0069518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "28510A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Byrd, APRN
• Sabrina Cade, CSFA
• Kate Elizabeth Cameron
• Janet Hoaglund Campbell, L.M.H.C.
• Cancer Specialists, LLC
• David Randall Carden, DMD
• Carrigan Neurology Inc.
• Olivia Carter
• Ashley Cash
• Christie Suzanne Castner, MFT

• Internal Medicine Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.