Active NPI
Odette Louise Campbell, M.D.
- Internal Medicine Physician
- Plano, TX
National Provider Identifier
1114989092
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H9609
- Practice address
- 5072 W Plano Pkwy Ste 220
Plano, TX 75093-4475 - Phone
- (469) 671-0900
- Fax
- (972) 256-2943
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H9609 | TX | Primary |
Addresses
Primary practice location
5072 W Plano Pkwy Ste 220
Plano, TX 75093-4475
Mailing address
5072 W Plano Pkwy Ste 220
Plano, TX 75093-4475
Phone (469) 671-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396087-14 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Medical Specialists, PLLC | Internal Medicine | Current | Accepting new patients |
| Mobile Eeg Testing Inc | Past | Accepting new patients | |
| Elite Orthopaedics of Irving PLLC | Past | Accepting new patients | |
| North Texas Home Visiting Physicians & Clinic | Past | Accepting new patients | |
| Procare Home Care Agency | Past | Accepting new patients | |
| Neuro Medical Equipment, Inc. | Past | Accepting new patients |
Locations
5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1750906681
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1982892105
-
- Radiology Clinic/Center
- Arlington, TX
- NPI 1376218396
-
- Diagnostic Neuroimaging (Radiology) Physician
- Arlington, TX
- NPI 1700282118
-
- Clinic/Center
- Mesquite, TX
- NPI 1245560069
-
- Nursing Care Agency
- Plano, TX
- NPI 1366588147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1114989092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5072 W PLANO PKWY STE 220",
"city": "PLANO",
"state": "TX",
"postal_code": "750934475",
"telephone_number": "469-671-0900",
"fax_number": "972-256-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5072 W PLANO PKWY STE 220",
"city": "PLANO",
"state": "TX",
"postal_code": "750934475",
"telephone_number": "469-671-0900",
"fax_number": "972-256-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ODETTE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H9609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396087-14",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.