MADHAVI CAPOCCIA D.O.
NPI 1063423374
Family Medicine in Allentown, PA

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
250 CETRONIA RD, SUITE 115, ALLENTOWN, PA 18104(610) 395-0307(610) 395-0950 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madhavi Capoccia D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADHAVI CAPOCCIA D.O. (NPI 1063423374) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS017383) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1998).

NPPES Registry Identity

NPI1063423374
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADHAVI CAPOCCIACredential: D.O.
Location Address250 CETRONIA RD, SUITE 115Allentown, PA 18104-9147
Mailing AddressPo Box 783311Philadelphia, PA 19178-1754 · (484) 884-4500 · Fax (484) 884-0699
Fax(610) 395-0950
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1998
Enumeration DateAugust 11, 2006
Last NPPES UpdateJanuary 11, 2016
NPI 1063423374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · OS017383 Licensed in VA · 0102201874
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
250 CETRONIA RD, Allentown, PA 18104

Other Names 1

Former Name (1)Madhavi K Maniar D.o.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Madhavi Capoccia D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395982771
PECOS Enrollment IDI20150120002051
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Hand Surgery)
250 CETRONIA RD
ALLENTOWN, PA 18104
Physical Therapist
250 CETRONIA RD, SUITE 210
ALLENTOWN, PA 18104
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Dietitian, Registered
250 CETRONIA RD
ALLENTOWN, PA 18104
Dermatology
250 CETRONIA RD, SUITE 301
ALLENTOWN, PA 18104
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madhavi Capoccia's NPI number?

The NPI number for Madhavi Capoccia is 1063423374. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Madhavi K Maniar D.O..

Where is Madhavi Capoccia located?

Madhavi Capoccia practices at 250 Cetronia Rd Suite 115, Allentown, PA 18104. The listed phone number is (610) 395-0307.

What is Madhavi Capoccia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madhavi Capoccia enrolled in Medicare?

Yes. Madhavi Capoccia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Madhavi Capoccia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Madhavi Capoccia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madhavi Capoccia affiliated with any hospitals?

According to CMS data, Madhavi Capoccia is affiliated with St Luke's Hospital Bethlehem and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Madhavi Capoccia was last updated on January 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.