Active NPI
Patrick Thomas Campbell, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- E-9362
- Practice address
- 9500 Kanis Rd Ste 410
Little Rock, AR 72205-6377 - Phone
- (501) 202-1500
- Fax
- (501) 202-1133
- NPI assigned
- Jan 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-9362 | AR | |
| Cardiovascular Disease Physician | 207RC0000X | E-9362 | AR | |
| Hypertension Specialist Physician | 207RH0005X | E-9362 | AR | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | E-9362 | AR | Primary |
Addresses
Primary practice location
9500 Kanis Rd Ste 410
Little Rock, AR 72205-6377
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 202-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151027002664 | AR | Practitioner - Internal Medicine | 2365519535 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
9500 Kanis Rd
Suite 410
Little Rock, AR 72205-6377
Phone (501) 202-1500
Hospital & facility affiliations
- Baptist Health Home Health-LR
- Baptist Health Medical Center-Little Rock
- Baptist Health Medical Center North Little Rock
- Arkansas Heart Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9362 | AR | MD | Hypertension Specialist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Cardiovascular Disease | Current | Accepting new patients |
| Arkansas Health Group | Past | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation Inc | Internal Medicine | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9500 Kanis Rd
Ste 410
Little Rock, AR 72205
Phone (501) 202-1500
Interoperability endpoints
- pcampbell119631@direct.baptist-healthar.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1760761829
AR, Cardiovascular Disease
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Family Medicine Physician
- White Hall, AR
- NPI 1316286149
-
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
-
- Home Health Agency
- Little Rock, AR
- NPI 1134225451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1215113154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-202-1500",
"fax_number": "501-202-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 KANIS RD STE 410",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056377",
"telephone_number": "501-202-1500",
"fax_number": "501-202-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "PATRICK",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-9362",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "E-9362",
"primary": false
},
{
"code": "207RH0005X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hypertension Specialist",
"state": "AR",
"license": "E-9362",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "AR",
"license": "E-9362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.