NPIMap

Individual provider Active NPI

Mitchell J Campbell, MD

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
National Provider Identifier
1174586457
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
28014 Issued in KY
Practice address
210 E Gray St
Suite 900
Louisville, KY 40202-3900
Phone
(508) 584-7525
Fax
(502) 589-0849
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 28014 KY Primary

Addresses

Primary practice location

210 E Gray St
Suite 900
Louisville, KY 40202-3900

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 22

IdentifierTypeStateIssuer
000051983JOtherKYHUMANA- NORTON LEATHERMAN SPINE CENTER
000000049467OtherKYANTHEM (SPINE INSTITUTE)
00533158OtherKYMEDICARE- NORTON LEATHERMAN SPINE CENTER
3728039000OtherKYPASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
50024963OtherKYPASSPORT- NORTON LEATHERMAN SPINE CENTER
8856267OtherKYCIGNA- NORTON LEATHERMAN SPINE CENTER
64280142MedicaidKY
000000049352OtherKYANTHEM (UNIVERSITY ORTHOP
000000628569OtherKYANTHEM- NORTON LEATHERMAN SPINE CENTER
1054523OtherKYPASSPORT (SPINE INSTITUTE
2432609000OtherKYPASSPORT ADVANTAGE (UNIVE
36123OtherKYCIGNA (SPINE INSTITUTE)
163722400OtherUS DEPT OF LABOR
200027304OtherKYRAILROAD MEDICARE
200103760OtherKYHEALTHY INDIANA PLAN- COMMUNITY MEDICAL ASSOCIATES
2433677000OtherKYPASSPORT ADVANTAGE (SPINE
P00764026OtherKYRAILROAD MEDICARE- NORTON LEATHERMAN SPINE CENTER
1049632OtherKYPASSPORT (UNIVERSITY ORT
200103760AMedicaidIN
667790OtherKYCIGNA (UNIVERSITY ORTHOPA
N293520OtherKYHARMONY (SPINE INSTITUTE)
200103760MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcampbell10967@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213001048 KY Practitioner - Orthopedic Surgery 0244143915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

210 E Gray St
Suite 1105
Louisville, KY 40202-3907
Phone (502) 583-1697

210 E Gray St
Suite 900
Louisville, KY 40202-3905
Phone (502) 584-7525

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion251
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28014KYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2009 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

103 Town and Country Ln
Ste M
Hazard, KY 41701

333 Waller Ave
Ste 300
Lexington, KY 40504
Phone (859) 252-3170

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

401 Bogle St
Ste 104
Somerset, KY 42503
Phone (800) 525-4279

Interoperability endpoints

  • Direct secure messaging: mcampbell10967@direct.nortonhealthcare.org

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1174586457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "SUITE 900",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023900",
            "telephone_number": "508-584-7525",
            "fax_number": "502-589-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MITCHELL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "28014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "000051983J",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (SPINE INSTITUTE)",
            "identifier": "000000049467",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "00533158",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "3728039000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "50024963",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "8856267",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64280142",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (UNIVERSITY ORTHOP",
            "identifier": "000000049352",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "000000628569",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT (SPINE INSTITUTE",
            "identifier": "1054523",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE (UNIVE",
            "identifier": "2432609000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (SPINE INSTITUTE)",
            "identifier": "36123",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "163722400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200027304",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY INDIANA PLAN- COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "200103760",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE (SPINE",
            "identifier": "2433677000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "P00764026",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT  (UNIVERSITY ORT",
            "identifier": "1049632",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200103760A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (UNIVERSITY ORTHOPA",
            "identifier": "667790",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY (SPINE INSTITUTE)",
            "identifier": "N293520",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200103760",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcampbell10967@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "210 E Gray St",
            "address_2": "Suite 900",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "210 E Gray St",
            "address_2": "Suite 900",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.