Thomas Campbell, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016.005662 Issued in IL

Practice address

4215 Kirchoff Rd Ste 104
Rolling Meadows, IL 60008-2005

Phone

(312) 202-6837

NPI assigned

May 13, 2014

Last updated

May 9, 2022By 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 IL

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

Specialty

Podiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Campbell Podiatry Services Incorporated

  • Podiatrist
  • Villa Park, IL
  • NPI 1801557632

  Single Specialty

  Medicare reassignment NPD Authorized official
• Illinois Institute of Foot and Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Rolling Meadows, IL
  • NPI 1831497668

  Single Specialty

  Medicare reassignment NPD
• Mobile Foot Doctors, Inc,

  • Foot & Ankle Surgery Podiatrist
  • Rolling Meadows, IL
  • NPI 1912276684

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1275944266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N YALE AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812339",
            "telephone_number": "847-445-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 KIRCHOFF RD STE 104",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082005",
            "telephone_number": "312-202-6837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 N YALE AVE",
            "address_purpose": "LOCATION",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812339",
            "country_code": "US",
            "telephone_number": "847-445-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.005662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Bufalino, DDS
• Michael Bukhalo, MD
• Demetrio Hamoy Bustalino
• Jasmine Jenny Bustamante, MSCMHC
• Robyn Nicole Calvelo
• Carabiner Surgical, LTD.
• David A Carbonell, PH.D.
• Care Wanyana LLC (Embrace Integral Care LLC)
• Careforte Home Healthcare Inc.
• Castle Chiropractic, LTD. (Castle Regenerative Health Center)

• Podiatrist in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.