Individual provider Active NPI

Francis X Camillo, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Memphis, TN
National Provider Identifier
1164418992
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
35064 Issued in TN
Practice address
6005 Park Ave
Ste 400
Memphis, TN 38119-5214
Phone
(901) 844-2500
NPI assigned
Sep 27, 2005
Reactivated
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 35064 TN Primary

Addresses

Primary practice location

6005 Park Ave
Ste 400
Memphis, TN 38119-5214

Mailing address

6005 Park Ave Ste 400
Memphis, TN 38119-5214
Phone (901) 767-9500

Other identifiers 1

IdentifierTypeStateIssuer
3870194MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040722001254 TN Practitioner - Orthopedic Surgery 5496735193

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CC Bpci PLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fcamillo@cco1043.srs-direct.com

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1164418992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195214",
            "telephone_number": "901-767-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195214",
            "telephone_number": "901-844-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLO",
        "first_name": "FRANCIS",
        "middle_name": "X",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-08-07",
        "deactivation_date": "2018-07-04",
        "reactivation_date": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "35064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3870194",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.