Thalmon Ruela Campagnoli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME169828 Issued in FL

Practice address

1025 Primera Blvd
Lake Mary, FL 32746-2175

Phone

(407) 333-1570

Fax

(407) 333-1381

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Ophthalmology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: tcampagnoli@floridaretinainstitute.intellechartdirect.net

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.

• Retina Vitreous Consultants

  • Ophthalmology Physician
  • Ft Lauderdale, FL
  • NPI 1699773796
  Medicare reassignment Care Compare group NPD
• Florida Retina Institute James a Staman MD LLC

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1447328026
  NPD

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

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Halifax Hospital Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227
  Care Compare affiliation

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1073908893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "407-849-9621",
            "fax_number": "407-367-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PRIMERA BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462175",
            "telephone_number": "407-333-1570",
            "fax_number": "407-333-1381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 E Highway 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116052",
            "country_code": "US",
            "telephone_number": "352-243-0716",
            "fax_number": "352-243-0717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 Health Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141492",
            "country_code": "US",
            "telephone_number": "386-258-5777",
            "fax_number": "386-239-8984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 Park Pond Way",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417661",
            "country_code": "US",
            "telephone_number": "407-847-7915",
            "fax_number": "407-847-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 S US Highway 27/441",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321594596",
            "country_code": "US",
            "telephone_number": "352-259-9944",
            "fax_number": "352-259-9926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061101",
            "country_code": "US",
            "telephone_number": "407-849-9621",
            "fax_number": "904-996-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUELA CAMPAGNOLI",
        "first_name": "THALMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME169828",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME169828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcampagnoli@floridaretinainstitute.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2921 Park Pond Way",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• RSC Oakmonte Cordova, LLC
• RSM Plastic Surgery, PA
• Margaret Rudd, BCBA
• Adriana Angela Rueda-Barrera, MS, NCC. LMHC
• Robert Ruel
• Marangely Ruiz Medina
• Ruk Holdings
• Taylor Marie Rungeling
• Ryan C. W. Hall, MD, PA
• John F Ryan, M.D.

• Ophthalmology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.