Active NPI
Marilyn R Capek, M.D.
- Dermatology Physician
- Winchester, MA
National Provider Identifier
1992848469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 45920
- Practice address
- 955 Main St
Suite # 308
Winchester, MA 01890-1961 - Phone
- (781) 729-3150
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Nebraska College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
955 Main St
Winchester, MA 01890-4303
Phone (781) 729-3150
Hospital & facility affiliations
- Winchester Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 212 |
| Skin biopsy | 146 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050829000474 | MA | Practitioner - Dermatology | 7113958299 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marilyn R Capek MD PC | Dermatology | Current | Accepting new patients |
Locations
955 Main St
Ste 308
Winchester, MA 01890
Phone (781) 729-3150
Interoperability endpoints
- mcapek28556@tuftsmedicine.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 45920 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
955 Main St
Suite # 308
Winchester, MA 01890-1961
Mailing address
955 Main St
Suite #308
Winchester, MA 01890-1961
Phone (781) 729-3150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2013.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1992848469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 MAIN ST",
"address_2": "SUITE #308",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901961",
"telephone_number": "781-729-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MAIN ST",
"address_2": "SUITE # 308",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901961",
"telephone_number": "781-729-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPEK",
"first_name": "MARILYN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "45920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.