Mitchel Campito

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

163545 Issued in NY

Practice address

6 Wellness Way Ste G06
Latham, NY 12110-2135

Phone

(518) 786-1600

Fax

(518) 786-1606

NPI assigned

Oct 16, 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcampito23055@albanymed.direct-ci.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.

• Albany Medical Center Hospital

  • Diagnostic Radiology Physician
  • Albany, NY
  • NPI 1609806520
  NPD
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1497921688
  NPD
• Community Care Physicians, PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1922048370

  Diagnostic Radiology

  NPD
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  NPD
• Albany Medical Center Hospital

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1811917461
  NPD (past)
• Community Care Physicians, PC

  • Diagnostic Radiology Physician
  • Latham, NY
  • NPI 1538431226
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1144300104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE G06",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102135",
            "telephone_number": "518-786-1600",
            "fax_number": "518-786-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPITO",
        "first_name": "MITCHEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "163545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Califano, DPM
• Tami Blasting Callister, SLP
• Kristine Campagna
• Katharine Campbell
• Michelle M Campbell, LMT
• Catherine Canary, M.D.
• Laurene Canfield, PT
• Deborah Cannon, M.S. IN ED
• Lucie Capek, M.D.
• Capital Area Hudson Valley New York Dental PC

• Diagnostic Radiology Physician in Latham, NY
• Providers in Latham, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.