DR. RALPH A CAPALDO M.D.
NPI 1528049350
Internal Medicine - Cardiovascular Disease in Galax, VA

NPI Status: Active since November 09, 2005

Contact Information

606 E STUART DR
GALAX, VA
ZIP 24333
Phone: (276) 238-3318
Fax: (276) 236-4204

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  • Individual
  • Male
  • Internal Medicine
  • Cardiovascular Disease
  • PECOS Enrolled

About RALPH CAPALDO

This page provides the complete NPI Profile along with additional information for Ralph Capaldo, an internist established in Galax, Virginia with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1528049350 assigned on November 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 0101043675 (VA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1528049350
Provider Name
DR. RALPH A CAPALDO M.D.
Gender
Male
Entity Type
Individual
Location Address
606 E STUART DR GALAX, VA 24333
Location Phone
(276) 238-3318
Location Fax
(276) 236-4204
Mailing Address
606 E STUART DR GALAX, VA 24333
Mailing Phone
(276) 238-3318
Mailing Fax
(276) 236-4204
Is Sole Proprietor?
No
Enumeration Date
11-09-2005
Last Update Date
07-08-2007
Code Navigator

An internist like Ralph Capaldo is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
0101043675
License State
VA
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

31256 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
TN0104OTHER (01)VAJOHN DEERE HEALTH
130PGOTHER (01)NCBCBS
250142OTHER (01)SOUTHERN HEALTH
TN0110OTHER (01)NCJOHN DEERE HEALTH
P00199623OTHER (01)VAMEDICARE RAILROAD
166095OTHER (01)VAANTHEM
5638054OTHER (01)AETNA
B3319OTHER (01)MEDCOST
850177OTHER (01)USA MANAGED CARE
167184OTHER (01)NCANTHEM
203987BMEDICARE ID-TYPE UNSPECIFIED (04)NC 
89130PGMEDICAID (05)NC 
B40741MEDICARE UPIN (02) 
00W164B05MEDICARE ID-TYPE UNSPECIFIED (04)VA 
8780OTHER (01)PARTNERS
16909002OTHER (01)NCCIGNA HEALTHCARE OF NC
2129936OTHER (01)MAMSI

Medicare Participation & PECOS Enrollment Status

Ralph Capaldo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 24333 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $129.04
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $32.26
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.08
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $17.52
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528049350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25480418310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 4 + 1 + 8 + 3 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528049350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528403839DR. GAURAV NAYYAR MD, PHD
Individual
Pediatrics606 E STUART DR
GALAX, VA 24333
(276) 236-8166
1831837095DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Organization
Clinic/Center (Rural Health)606 E STUART DR
GALAX, VA 24333
(276) 236-8166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528049350, enumerated in the NPI registry as an "individual" on November 09, 2005

The provider is located at 606 E Stuart Dr Galax, Va 24333 and the phone number is (276) 238-3318

The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $129.04 with an average copayment of $32.26 for new patient appointments. Established patients should expect a typical charge of $70.08 and an average copayment of 17.52. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.