DR. NICHOLAS D CAPPADONA MD
NPI 1346809159
Internal Medicine - Hospice and Palliative Medicine in Jefferson, LA
NPI Status: Active since June 06, 2019
Contact Information
1514 JEFFERSON HWY
JEFFERSON, LA
ZIP 70121
Phone: (866) 624-7637
- Individual
- Male
- Years of Experience 7
- Internal Medicine
- Hospice and Palliative Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NICHOLAS CAPPADONA
This page provides the complete NPI Profile along with additional information for Nicholas Cappadona, an internist established in Jefferson, Louisiana with a medical specialization in Internal Medicine, focusing in hospice and palliative medicine and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1346809159 assigned on June 2019. The practitioner's primary taxonomy code is 207RH0002X with license number 338275 (LA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1346809159
- Provider Name
- DR. NICHOLAS D CAPPADONA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1514 JEFFERSON HWY JEFFERSON, LA 70121
- Location Phone
- (866) 624-7637
- Mailing Address
- 1514 JEFFERSON HWY NEW ORLEANS, LA 70121
- Mailing Phone
- (504) 650-2724
- Medical School Name
- OTHER
- Graduation Year
- 2019
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-06-2019
- Last Update Date
- 08-11-2023
- Code Navigator
An internist like Nicholas Cappadona is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hospice and Palliative Medicine
- Taxonomy Code
- 207RH0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 338275
- License State
- LA
- Taxonomy Description
- An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicholas Cappadona is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nicholas Cappadona is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6608105614
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231012000889
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicholas Cappadona is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| OCHSNER MEDICAL CENTER ACUTE | 1516 JEFFERSON HWY NEW ORLEANS, LA 70121 | (504) 842-3000 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1346809159, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346809159, enumerated as an "individual" on June 06, 2019.
The provider is located at 1514 JEFFERSON HWY JEFFERSON, LA 70121 and the phone number is (866) 624-7637.
Internal Medicine with taxonomy code 207RH0002X and a focus in Hospice and Palliative Medicine.
The provider might be accepting Accepts: HMO Louisiana. Please consult your insurance carrier or call the provider to verify.
Nicholas Cappadona is affiliated with: OCHSNER MEDICAL CENTER ACUTE.
