MR. GUSTAVO ENRIQUE CAPO B.S.
NPI 1295534428
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Gustavo Capo's NPI number?

The NPI number for Gustavo Capo is 1295534428. It was assigned to this individual provider in the NPPES registry on March 11, 2025. The provider is also known as Mr. Gustavo Enrique Capo Fernandez B.S..

Q: What is Gustavo Capo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gustavo Capo was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 11, 2025PECOS Enrolled

1025 WALNUT ST STE 1100, PHILADELPHIA, PA 19107(215) 955-1416 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Mar 11, 2025 (2 updates tracked since 2025).

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About Mr. Gustavo Enrique Capo B.s. NPPES

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

MR. GUSTAVO ENRIQUE CAPO B.S. (NPI 1295534428) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295534428

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. GUSTAVO ENRIQUE CAPOCredential: B.S.

Location Address1025 WALNUT ST STE 1100Philadelphia, PA 19107-5001

Mailing Address1120 15th StAugusta, GA 30912-0004 · (706) 721-8623

Phone(215) 955-1416

Sole ProprietorYes

Enumeration DateMarch 11, 2025

Last NPPES UpdateMay 1, 20262 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1295534428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1025 WALNUT ST STE 1100, Philadelphia, PA 19107

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Other Names 1

Other Name (5)Mr. Gustavo Enrique Capo Fernandez B.s.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gustavo Enrique Capo B.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 10

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

SYRUS H RAZAVI

Student in an Organized Health Care Education/Training Program