Individual provider Active NPI

Odette Louise Campbell, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1114989092
Registry record updated Nov 20, 2023
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H9609 Issued in TX
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

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1396087-14MedicaidTX

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Medical Specialists, PLLC Internal Medicine Current Accepting new patients
Mobile Eeg Testing Inc PastSince Aug 27, 2021 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. PastSince Apr 22, 2015 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.

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

Verify at the official NPI Registry.