Individual provider Active NPI

Leslie Campbell, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Allen, TX
National Provider Identifier
1194777813
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1014 Issued in TX
Practice address
1111 Raintree Cir Ste 200
Allen, TX 75013-4902
Phone
(972) 332-8110
Fax
(972) 332-8109
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1014 TX Primary

Addresses

Primary practice location

1111 Raintree Cir Ste 200
Allen, TX 75013-4902

Mailing address

1111 Raintree Cir Ste 200
Allen, TX 75013-4902
Phone (972) 332-8110

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000886 TX Practitioner - Podiatry 9234143819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Raintree Cir
Suite 200
Allen, TX 75013-4902
Phone (972) 332-8110

Hospital & facility affiliations

  • Texas Health Center for Diagnostics & Surgery Plan Hospital, Plano, TX, CCN 450891

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Campbell, D.P.M., P.a. CurrentSince Jan 15, 2006 Accepting new patients

Locations

1111 Raintree Cir
Ste 200
Allen, TX 75013
Phone (972) 332-8110

1105 Central Expy N
Ste 2240
Allen, TX 75013
Phone (972) 747-5800

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.

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1194777813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134902",
            "telephone_number": "972-332-8110",
            "fax_number": "972-332-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134902",
            "telephone_number": "972-332-8110",
            "fax_number": "972-332-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LESLIE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.