Individual provider Active NPI

Jay Donald Capra, M.D.

  • Pediatrics Physician
  • Abilene, TX
National Provider Identifier
1942298872
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K1746 Issued in TX
Practice address
1665 Antilley Rd Ste 200
Abilene, TX 79606-5271
Phone
(325) 692-5800
Fax
(325) 692-6111
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K1746 TX Primary

Addresses

Primary practice location

1665 Antilley Rd Ste 200
Abilene, TX 79606-5271

Mailing address

PO Box 5409
Abilene, TX 79608-5409
Phone (325) 437-8655

Other identifiers 1

IdentifierTypeStateIssuer
118993802MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218000123 TX Practitioner - Pediatric Medicine 8628122017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K1746TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Feb 1, 2015 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Feb 1, 2015 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1665 Antilley Rd
Ste 250
Abilene, TX 79606
Phone (325) 692-4194

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

6300 Regional Plz
Ste 650
Abilene, TX 79606
Phone (325) 692-5800

1665 Antilley Rd
Ste 120
Abilene, TX 79606
Phone (325) 695-6011

Interoperability endpoints

  • Direct secure messaging: jay.capra.1@23308.direct.athenahealth.com

Organizations & group practices 3

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1942298872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-437-8655",
            "fax_number": "325-437-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD STE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065271",
            "telephone_number": "325-692-5800",
            "fax_number": "325-692-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRA",
        "first_name": "JAY",
        "middle_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118993802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.