John Thomas Campbell II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40745 Issued in CO

Practice address

4386 Trail Boss Dr
Suite a
Castle Rock, CO 80104-7512

Phone

(303) 688-8666

Fax

(303) 688-8260

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Family Practice

Education

University of Pittsburgh School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KC Medical PCGroup PAC ID 5597781666, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• CO HMO

Interoperability endpoints

• Direct secure messaging: john.campbell.1@2609.direct.athenahealth.com

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.

• KC Medical PC

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1578594727
  Medicare reassignment Care Compare group NPD
• Onpoint Medical Group, LLC

  • Family Medicine Physician
  • Littleton, CO
  • NPI 1841223856
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296259200000",
    "number": "1053373415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 TRAIL BOSS DR",
            "address_2": "SUITE A",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-688-8666",
            "fax_number": "303-688-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 TRAIL BOSS DR",
            "address_2": "SUITE A",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-688-8666",
            "fax_number": "303-688-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56176571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elina Calabrese, LCSW
• Haley Christine Calkins, LCSW
• Valerie Calvillo, MA, CAC II
• Campbell Chiropractic, Inc
• Cory M Campbell, D.C.
• Laura Anne Campbell
• Paige Campbell
• Athena Audrie Cantrall
• Canyon Ridge Chiropractic PC
• Timothy Casey Capps, LCP

• Family Medicine Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.