Individual provider Active NPI

Andrea L. Campaigne, MD

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1013197748
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M9188 Issued in TX
Practice address
12201 Renfert Way Ste 250
Austin, TX 78758-5354
Phone
(512) 994-2662
Fax
(512) 406-6202
NPI assigned
Nov 9, 2007
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M9188 TX Primary

Addresses

Primary practice location

12201 Renfert Way Ste 250
Austin, TX 78758-5354

Mailing address

4515 Seton Center Pkwy Ste 215
Austin, TX 78759-5785

Other practice location 1

12174 N Mopac Expy
Suite A
Austin, TX 78758-2910
Phone (512) 994-2662

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
I20081230000374 TX Practitioner - Obstetrics/Gynecology 3971665886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

12201 Renfert Way
250 Austin Regional Clinic North Austin OB/
Austin, TX 78758-5354
Phone (512) 994-2662

6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9188TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Aug 1, 2017 Accepting new patients
Austin Regional Clinic, PA Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Seton Hospitalist Service Past Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

12174 N Mopac Expy
Ste A
Austin, TX 78758
Phone (303) 535-7548

12201 Renfert Way
Ste 250
Austin, TX 78758
Phone (512) 901-1506

4515 Seton Center Pkwy
Ste 215
Austin, TX 78759
Phone (512) 338-3802

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: acampaigne19747@arcmd.direct-ci.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1013197748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SETON CENTER PKWY STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-994-2662",
            "fax_number": "512-406-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12174 N Mopac Expy",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582910",
            "country_code": "US",
            "telephone_number": "512-994-2662",
            "fax_number": "512-994-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPAIGNE",
        "first_name": "ANDREA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M9188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.