Individual provider Active NPI

Timothy Douglas Campbell, MD

  • Urology Physician
  • Towson, MD
National Provider Identifier
1043839467
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0104661 Issued in MD
Practice address
6535 N Charles St Ste 500
Towson, MD 21204-5832
Phone
(410) 825-5454
Fax
(410) 825-6320
NPI assigned
Apr 15, 2020
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D0104661 MD Primary

Addresses

Primary practice location

6535 N Charles St Ste 500
Towson, MD 21204-5832

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice location 1

601 Elmwood Ave # 656
Rochester, NY 14642-0001
Phone (585) 273-1904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260605001260 MD Practitioner - Urology 8820418676

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Rochester School of Medicine and Dentistry, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10200 Grand Central Ave
Suite 220
Owings Mills, MD 21117-4165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0104661MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urology Associates Urology PastSince Apr 19, 2020 Accepting new patients

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, 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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1043839467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST STE 500",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045832",
            "telephone_number": "410-825-5454",
            "fax_number": "410-825-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave # 656",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-273-1904",
            "fax_number": "585-273-1068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TIMOTHY",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0104661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.