Kirk A. Campana, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M-1176-1 Issued in ID

Practice address

10798 W Overland Rd
Boise, ID 83709-1329

Phone

(208) 377-3368

Fax

(208) 322-4691

NPI assigned

Nov 28, 2005

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17614/brand/1/csg/1/fhir/r4
• Direct secure messaging: kirk.campana.1@17614.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boise Family Medicine, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1356883326
  Medicare reassignment NPD
• Boise Family Medicine Center

  • Family Medicine Physician
  • Boise, ID
  • NPI 1376747790
  NPD

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1205819950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10798 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "208-377-3368",
            "fax_number": "208-322-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10798 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "208-377-3368",
            "fax_number": "208-322-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "KIRK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "M-1176-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camas Home LLC
• Lesha Renee Cambra, LCPC
• Cameron Wiemerslage Counseling, LLC
• Elaine Camilleri, MSC CCC SLP
• Nicolas A Camilo, MD
• Suzie G Campana, CPM, LM
• Lydia Aaron Grace Campbell-White, RN
• Aaron David Campbell, MD
• Alayna Campbell, LMSW
• Annie Campbell, PA

• General Practice Physician in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.