Provider Demographics
NPI:1134225311
Name:CAPELLI, ALEXANDER GERARD PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:GERARD PATRICK
Last Name:CAPELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SW BLUE PKWY
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2100
Mailing Address - Country:US
Mailing Address - Phone:816-525-0061
Mailing Address - Fax:816-875-1167
Practice Address - Street 1:1000 SW BLUE PKWY
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2100
Practice Address - Country:US
Practice Address - Phone:816-525-0061
Practice Address - Fax:816-875-1167
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101188207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G07614Medicare UPIN
G378866Medicare ID - Type Unspecified