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EVELYN DANIELA CAPELLAN DURANTE MD
NPI 1780357087
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since August 01, 2021PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-9892(718) 920-9036 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evelyn Daniela Capellan Durante Md NPPES

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

EVELYN DANIELA CAPELLAN DURANTE MD (NPI 1780357087) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780357087
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEVELYN DANIELA CAPELLAN DURANTECredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401
Phone(718) 920-9892
Fax(718) 920-9036
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 1, 2021
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1780357087 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.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn Daniela Capellan Durante Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264901883
PECOS Enrollment IDI20260513001362
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.

Medicare Billing Reassignment

Medicare enrollment records show Evelyn Capellan Durante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Evelyn Capellan Durante's NPI number?

The NPI number for Evelyn Capellan Durante is 1780357087. It was assigned to this individual provider in the NPPES registry on August 1, 2021.

Where is Evelyn Capellan Durante located?

Evelyn Capellan Durante practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-9892.

What is Evelyn Capellan Durante's specialty?

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

Is Evelyn Capellan Durante enrolled in Medicare?

Yes. Evelyn Capellan Durante is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evelyn Capellan Durante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Capellan Durante reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evelyn Capellan Durante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Evelyn Capellan Durante affiliated with any hospitals?

According to CMS data, Evelyn Capellan Durante is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Evelyn Capellan Durante was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.