DR. LESLIE CAPULONG MD
NPI 1346877644
Psychiatry & Neurology - Psychiatry in South Bend, IN

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
415 E MADISON ST, SOUTH BEND, IN 46617(574) 283-1234 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leslie Capulong Md NPPES

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

DR. LESLIE CAPULONG MD (NPI 1346877644) is an individual psychiatry provider in South Bend, Indiana, licensed in New York (325281) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346877644
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LESLIE CAPULONGCredential: MD
Location Address415 E MADISON STSouth Bend, IN 46617-2322
Mailing Address5776 Grape Rd Ste 51, Pmb 190Mishawaka, IN 46545-8460 · (347) 504-0301 · Fax (201) 733-1176
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1346877644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in NY · 325281 Licensed in IN · 01096917A
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
415 E MADISON ST, South Bend, IN 46617

Secondary Practice Locations 2

Location 1224 W 35th St Ste 500, #3595New York, NY 10001-2538 · Phone (347) 504-0301
Location 22600 Oakland AveElkhart, IN 46517-1533 · Phone (574) 533-1234

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

Dr. Leslie Capulong Md 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 ID3779082722
PECOS Enrollment IDI20250816000190
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617

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 Leslie Capulong's NPI number?

The NPI number for Leslie Capulong is 1346877644. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Leslie Capulong located?

Leslie Capulong practices at 415 E Madison St, South Bend, IN 46617. The listed phone number is (574) 283-1234.

What is Leslie Capulong's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Leslie Capulong enrolled in Medicare?

Yes. Leslie Capulong 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 Leslie Capulong accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Leslie Capulong 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.

When was this NPI record last updated?

The NPPES record for Leslie Capulong was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.