Individual provider Active NPI

Anita Campbell, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Wichita, KS
National Provider Identifier
1104141159
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
0437800 Issued in KS
Practice address
1277 N Maize Rd
Wichita, KS 67212-4302
Phone
(316) 722-8883
Fax
(316) 609-4740
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-37800 KS
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0437800 KS Primary

Addresses

Primary practice location

1277 N Maize Rd
Wichita, KS 67212-4302

Mailing address

1277 N Maize Rd
Wichita, KS 67212-4302
Phone (316) 722-8883

Other names 1

  • Dr. Anita Gupta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150807015272 KS Practitioner - Ophthalmology 2062639396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Eye Clinic, P.a.Group PAC ID 4789786021, 2 clinicians
Stiles Eyecare Excellence and Glaucoma Institute PAGroup PAC ID 8224033188, 5 clinicians

Practice addresses (Care Compare)

11005 W 60TH St
Suite 210
Shawnee, KS 66203-2789
Phone (913) 631-7700

7200 W 129TH St
Overland Park, KS 66213-2624
Phone (913) 897-9299

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
99.11
Improvement activities
40
Cost
69.26

Merit-based Incentive Payment System (MIPS)

Final score
91.97 of 100Reported as group
Quality
94.07
Improvement activities
40
Cost
81.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0437800KSMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stiles Eyecare Excellence & Glaucoma Institute PA Ophthalmology CurrentSince Dec 1, 2023 Accepting new patients
Grene Vision Group LLC Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients
Grene Vision Group LLC Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients

Locations

7200 W 129th St
Overland Park, KS 66213
Phone (816) 942-1113

619 SW Corporate Vw
Topeka, KS 66615
Phone (785) 232-6022

1277 N Maize Rd
Wichita, KS 67212
Phone (316) 722-8883

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010

Interoperability endpoints

  • Direct secure messaging: anita.campbell@khindirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1104141159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 N MAIZE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124302",
            "telephone_number": "316-722-8883",
            "fax_number": "316-609-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N MAIZE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124302",
            "telephone_number": "316-722-8883",
            "fax_number": "316-609-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-37800",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "KS",
            "license": "0437800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "GUPTA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.