NPIMap

Individual provider Active NPI

Dennis Dicampli, MD

  • Nephrology Physician
  • Springfield, MA
National Provider Identifier
1215034723
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
231370 Issued in MA
Practice address
100 Wason Ave
Suite 200
Springfield, MA 01107-1381
Phone
(413) 733-9666
Fax
(413) 750-3432
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 045478 CT
Nephrology Physician 207RN0300X 231370 MA Primary
Nephrology Physician 207RN0300X MD427488 PA

Addresses

Primary practice location

100 Wason Ave
Suite 200
Springfield, MA 01107-1381

Mailing address

100 Wason Ave
Ste 200
Springfield, MA 01107-1179
Phone (413) 733-9666

Other identifiers 1

IdentifierTypeStateIssuer
2136511MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070807000802 MA Practitioner - Nephrology 2769491943 Reassigns benefits to 3 organizations
I20110427000220 CT Practitioner - Nephrology 2769491943

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal and Transplant Associates of the Northeast PCGroup PAC ID 2860836327, 7 clinicians

Practice addresses (Care Compare)

3550 Main St
Suite 204
Springfield, MA 01107-1078
Phone 4138672500101

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231370MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New England Renal and Transplant Associates, P.C. Nephrology CurrentSince Jan 2, 2015 Accepting new patients
Renal & Transplant Assoc of the Northeast PC Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Philadelphia Hypertension & Nephrology Consultants PC Nephrology Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology Past Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients
Comprehensive Renal Care, PC Nephrology Past Accepting new patients

Locations

701 Enfield St
Ste 160
Enfield, CT 06082
Phone (860) 749-5975

113 Elm St
Enfield, CT 06082
Phone (860) 253-5196

95 Sargent St
Belchertown, MA 01007
Phone (413) 323-7212

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

3550 Main St
Ste 204
Springfield, MA 01107
Phone (413) 733-2204

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • Direct secure messaging: ddicampli20086@direct.acumenmd.com

Organizations & group practices 9

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 6

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1215034723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071179",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICAMPLI",
        "first_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "045478",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "231370",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD427488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136511",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.