Individual provider Active NPI

Christopher P Kampas, M.D.

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1154369536
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8617 Issued in TX
Practice address
1575 I 30
Mesquite, TX 75150-6905
Phone
(469) 800-2800
Fax
(469) 800-2801
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8617 TX Primary

Addresses

Primary practice location

1575 I 30
Mesquite, TX 75150-6905

Mailing address

1575 I 30
Mesquite, TX 75150-6905
Phone (469) 800-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckampas225883@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111123000158 TX Practitioner - Family Practice 4587838875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1575
Suite 30
Mesquite, TX 75150-6905
Phone (469) 800-2800

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8617TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 29, 2014 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Dec 29, 2014 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients
Dr Beth Yu, M.D.,P.a. Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

1575 Interstate 30
Mesquite, TX 75150
Phone (469) 800-2800

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1154369536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 I 30",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506905",
            "telephone_number": "469-800-2800",
            "fax_number": "469-800-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 I 30",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506905",
            "telephone_number": "469-800-2800",
            "fax_number": "469-800-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckampas225883@direct.sw.org",
            "affiliation": "N",
            "address_1": "1575 I 30",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751506905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.