THOMAS CAPPOLA MD
NPI 1437185584
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Philadelphia, PA

Q: What is Thomas Cappola's NPI number?

The NPI number for Thomas Cappola is 1437185584. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Thomas Cappola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Cappola was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 June 23, 2006PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

3400 SPRUCE STREET, PHILADELPHIA, PA 19104(215) 662-6779 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Thomas Cappola Md NPPES

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

THOMAS CAPPOLA MD (NPI 1437185584) is an individual advanced heart failure and transplant cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD420736) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Harvard Medical School (1995).

NPPES Registry Identity

NPI1437185584

Entity TypeIndividualMale

Primary Taxonomy207RA0001X

Provider Legal NameTHOMAS CAPPOLACredential: MD

Location Address3400 SPRUCE STREETPhiladelphia, PA 19104

Mailing Address3400 Spruce StreetPhiladelphia, PA 19104

Phone(215) 662-6779

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1995

Enumeration DateJune 23, 2006

Last NPPES UpdateSeptember 13, 2017

✔ NPI 1437185584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in PA · MD420736

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD420736 (PA)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD420736 (PA)

3400 SPRUCE STREET, Philadelphia, PA 19104

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH07100

Medicare ID-Type Unspecified063986PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Thomas Cappola 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 ID2567451347

PECOS Enrollment IDI20040507000503

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

64 services22 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

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.

SARAH KUMAR M.D.

Anesthesiology (Critical Care Medicine)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

RYAN MCCLINTOCK MD

Radiology (Diagnostic Radiology)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

ADRIAN W ONG MD

Surgery (Surgical Critical Care)

3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7320

MATHEW N BESHARA MD

Obstetrics & Gynecology

3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6035

JILL E LANGER MD

Radiology (Diagnostic Radiology)

3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7012

BERNADETTE C WHEELER MD

Obstetrics & Gynecology

3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2730

EDWARD T DICKINSON MD

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

WENDY RACHEL GALPERN MD, PHD

Psychiatry & Neurology (Neurology)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2219

DR. HARI AMIN M.D.

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

BRIANNA ELIZABETH REARDON CRNP

Nurse Practitioner (Family)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

VAUNIQUE BROWN CRNA

Nurse Anesthetist, Certified Registered

3400 SPRUCE STREET, DULLES BLDG, SUITE 680
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

LEE R CARRASCO MD DDS

Oral & Maxillofacial Surgery

3400 SPRUCE STREET, 5 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3580

DR. VIVIANNA MAIA VAN DEERLIN MD

Pathology (Clinical Pathology/Laboratory Medicine)

3400 SPRUCE STREET, 7.103 FOUNDERS PAVILLION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6550

GARY KAO MD

Radiology (Radiation Oncology)

3400 SPRUCE STREET, 2 DONNER BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

ARTHUR F WHEREAT MD

Internal Medicine

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6779

DR. OSCAR JONATHAN LOWY MITCHELL MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE STREET, 3 RAVDIN BLDG. STE. F
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3202

DR. ARTHUR JAMES JARAE POPE II MD, PHD

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

DR. ROBERT T ADELSON MD

Otolaryngology

3400 SPRUCE STREET, 5 SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2777

KRISTEN LYNN DONAHOO M.S.

Genetic Counselor, MS

3400 SPRUCE STREET, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - 5 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3297

JOHN YOUNGKEUN LEE MD

Neurological Surgery

3400 SPRUCE STREET, 3 SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

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 Thomas Cappola's NPI number?

The NPI number for Thomas Cappola is 1437185584. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Thomas Cappola located?

Thomas Cappola practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (215) 662-6779.

What is Thomas Cappola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Thomas Cappola enrolled in Medicare?

Yes. Thomas Cappola 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 Thomas Cappola accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Thomas Cappola 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 Thomas Cappola affiliated with any hospitals?

According to CMS data, Thomas Cappola is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Thomas Cappola was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.