Individual provider Active NPI

Charles H Campbell, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Corpus Christi, TX
National Provider Identifier
1154395705
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
D5362 Issued in TX
Practice address
5540 Saratoga Blvd
Suite 200
Corpus Christi, TX 78413-2953
Phone
(361) 993-8510
Fax
(361) 993-9184
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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 D5362 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X D5362 TX Primary

Addresses

Primary practice location

5540 Saratoga Blvd
Suite 200
Corpus Christi, TX 78413-2953

Mailing address

5540 Saratoga Blvd
Suite 200
Corpus Christi, TX 78413-2953
Phone (361) 993-8510

Other identifiers 1

IdentifierTypeStateIssuer
095068501MedicaidTX

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
I20100225000782 TX Practitioner - Ophthalmology 4789728957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Retina Consultants LLPGroup PAC ID 6002842812, 2 clinicians

Practice addresses (Care Compare)

5540 Saratoga Blvd
Suite 200
Corpus Christi, TX 78413-2953
Phone (361) 993-8510

Merit-based Incentive Payment System (MIPS)

Final score
78.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
11.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Retina Consultants, LLP Ophthalmology CurrentSince Jun 2, 1997 Accepting new patients

Locations

5540 Saratoga Blvd
Ste 200
Corpus Christi, TX 78413
Phone (361) 993-8510

5540 Saratoga Blvd
Corpus Christi, TX 78413
Phone (361) 281-3749

Organizations & group practices 1

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1154395705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 SARATOGA BLVD",
            "address_2": "SUITE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132953",
            "telephone_number": "361-993-8510",
            "fax_number": "361-993-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 SARATOGA BLVD",
            "address_2": "SUITE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132953",
            "telephone_number": "361-993-8510",
            "fax_number": "361-993-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D5362",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "D5362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095068501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.