DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) – Internal Medicine Physician, NPI 1093866808

DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01065645A (IN). The NPI Number for DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) is 1093866808

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORGE EDWIN CAPELLA-GONZALEZ (MD)
NPI
1093866808
Phone
(260) 266-2020
Address
11109 Parkview Plaza Dr
Enumeration Date
16 January 2007
Last Update Date
12 October 2022

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
9012265000
Graduation Year
2006 (20 years ago)
PAC ID
4688932635
Group Practice PAC ID
0042307852
Professional Enrollment ID
I20211022000367
Address ID
TN381202113ME6019XRDXX400

Contacts

FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Secure Messaging
jcapellagonzalez484800@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,517 INTERNAL MEDICINE in IN

Provider Addresses for DR. JORGE EDWIN CAPELLA-GONZALEZ (MD)

  • 11109 Parkview Plaza Dr

    Fort Wayne, IN 468451701

    Phone: (260) 266-2020

    Fax: (260) 266-2009

    Type: Location

  • Fort Hood Orthopedic Brace Clinic, Darnall Loop, Bell County, Texas, 76544, United States

    CARL R. DARNALL ARMY MEDICAL CENTER

    FORT HOOD, TX 76544

    Phone: (254) 247-2322

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181206000053IInternal MedicineINTBD
I20200827001225IInternal MedicineIATBD
I20211022000367IInternal MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes23367$0
99238Hospital discharge day management, 30 minutes or less4746$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042307852View full group profile
NameSpecialtyState
-KY
Family Practice, Geriatric MedicineKY
Internal MedicineNY
Emergency Medicine, Internal MedicineMS
-MO
Family Practice, Hospitalist, Family PracticeFL
Internal MedicineTN
Internal MedicineSC
Internal MedicineNC
-TN

Reviews

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Frequently asked questions

How is DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) with NPI 1093866808.
Does the file indicate DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) is practicing under active NPI?
Directory data currently reports DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) as active.
What is DR. JORGE EDWIN CAPELLA-GONZALEZ (MD)'s specialty?
The listing groups DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JORGE EDWIN CAPELLA-GONZALEZ (MD)?
DR. JORGE EDWIN CAPELLA-GONZALEZ (MD)'s geographic hint is Fort Wayne, Indiana in our summary view.
Is the information about DR. JORGE EDWIN CAPELLA-GONZALEZ (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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