NPIMap

Individual provider Active NPI

Matthew J Campbell, M.D.

  • Family Medicine Physician
  • Saint Joseph, MI
National Provider Identifier
1043284367
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301080141 Issued in MI
Practice address
405 Momany Dr
Saint Joseph, MI 49085-2178
Phone
(269) 928-1947
Fax
(269) 982-1950
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301080141 MI Primary

Addresses

Primary practice location

405 Momany Dr
Saint Joseph, MI 49085-2178

Mailing address

405 Momany Dr
Saint Joseph, MI 49085-2178
Phone (269) 928-1947

Other identifiers 2

IdentifierTypeStateIssuer
444169410MedicaidMI
080191091OtherRAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000321 MI Practitioner - Family Practice 9537223151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew Campbell, MD, PLCGroup PAC ID 5890859417, 2 clinicians

Practice addresses (Care Compare)

405 Momany Dr
Saint Joseph, MI 49085-2178
Phone (269) 982-1947

Hospital & facility affiliations

  • Corewell Health Lakeland Hospitals St Joseph Hospital Home health agency, Benton Harbor, MI, CCN 237163
  • Corewell Health Hospice & Palliative Care Southwest Michigan Hospice, Saint Joseph, MI, CCN 231513
  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
  • Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080141MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewater Family Health, PLC Family Medicine Current Accepting new patients
Brian T Doyle MD PLC Family Medicine Current Accepting new patients
Alimenti Family Medicine Family Medicine Current Accepting new patients
Matthew Campbell, MD, PLC Family Medicine CurrentSince Oct 31, 2002 Accepting new patients

Locations

405 Momany Dr
Saint Joseph, MI 49085
Phone (269) 962-1947

Interoperability endpoints

  • Direct secure messaging: mcampbell7642@lakeland.midirect.net

Organizations & group practices 4

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 6

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043284367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MOMANY DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852178",
            "telephone_number": "269-928-1947",
            "fax_number": "269-982-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MOMANY DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852178",
            "telephone_number": "269-928-1947",
            "fax_number": "269-982-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444169410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080191091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.