Individual provider Active NPI

Robin Boliver-Campbell, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1003096033
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1782 Issued in TX
Practice address
7141 Southwest Fwy
Houston, TX 77074-2001
Phone
(713) 771-7921
Fax
(713) 264-8659
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1782 TX Primary

Addresses

Primary practice location

7141 Southwest Fwy
Houston, TX 77074-2001

Mailing address

7141 Southwest Fwy
Houston, TX 77074-2001
Phone (713) 771-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000159 TX Practitioner - Internal Medicine 2466426465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Jennifer Johnson-Caldwell, M.D.,P.a.Group PAC ID 3779511175, 2 clinicians

Practice addresses (Care Compare)

1315 St Joseph Pkwy
Houston, TX 77002-8292

1315 St Joseph Pkwy
Houston, TX 77002-8297
Phone (713) 520-8963

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Houston, TX, CCN 450035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K1782TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jennifer Johnson-Caldwell, M.D.,P.a. Internal Medicine CurrentSince Jan 25, 2022 Accepting new patients

Locations

1315 St Joseph Pkwy
Ste 950
Houston, TX 77002
Phone (713) 356-7848

1315 St Joseph Pkwy
Ste 140
Houston, TX 77002
Phone (713) 520-8963

Networks

  • TX HMO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: robin.boliver-campbell.1@17148.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1003096033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742001",
            "telephone_number": "713-771-7921",
            "fax_number": "713-264-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742001",
            "telephone_number": "713-771-7921",
            "fax_number": "713-264-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVER-CAMPBELL",
        "first_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.