Provider Demographics
NPI:1720065766
Name:CAPLES, PETE (MD)
Entity Type:Individual
Prefix:
First Name:PETE
Middle Name:
Last Name:CAPLES
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 1:237 WILLIAM HOWARD TAFT RD
Mailing Address - Street 2:2ND FLOOR, CBO 2-3
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:513-792-7800
Mailing Address - Fax:513-792-7807
Practice Address - Street 1:10506 MONTGOMERY RD
Practice Address - Street 2:SUITE 504
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4487
Practice Address - Country:US
Practice Address - Phone:513-792-7800
Practice Address - Fax:513-792-7807
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35039198207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
06003202OtherRAILROAD MEDICARE
OH0641442OtherAETNA
OH110061528OtherRR MEDICARE
OH000000019724OtherANTHEM
OH311438871076OtherCARESOURCE MEDICAID OH
25-20406OtherUNITED HEALTHCARE
OH39198-14OtherHUMANA
OH0392089Medicaid
OH283761OtherAMERIGROUP MEDICAID OH
IN100335950Medicaid
KY64769607Medicaid
OH311438871076OtherCARESOURCE MEDICAID OH
OH0426466Medicare PIN
OH39198-14OtherHUMANA
OH0392089Medicaid