Thomas Campbell, DPM
Individual provider Active NPI Podiatrist · Rolling Meadows, IL
NPI 1275944266 · NPPES record last updated May 9, 2022
Key facts
- NPI
- 1275944266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 016.005662 (IL)
- Practice address
- 4215 Kirchoff Rd Ste 104
Rolling Meadows, IL 60008-2005 - Phone
- (312) 202-6837
- NPI assigned
- May 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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)
16 N Yale Ave
Villa Park, IL 60181-2339
Phone (847) 445-9003
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 80 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170719001661 | IL | Practitioner - Podiatry | 4981994936 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005662 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Foot Doctors, Inc, | Single Specialty | Current |
Accepting new patients |
| Illinois Institute of Foot and Ankle, P.C. | Single Specialty | Current |
Accepting new patients |
| Campbell Podiatry Services Incorporated | Single Specialty | Current |
Accepting new patients |
Locations
4215 Kirchoff Rd
Ste 104
Rolling Meadows, IL 60008
Phone (312) 202-6837
4215 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (847) 231-2517
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 016.005662 | IL | Yes |
Addresses
Primary practice location
4215 Kirchoff Rd Ste 104
Rolling Meadows, IL 60008-2005
Mailing address
16 N Yale Ave
Villa Park, IL 60181-2339
Phone (847) 445-9003
Other practice location 1
16 N Yale Ave
Villa Park, IL 60181-2339
Phone (847) 445-9003
Other providers in Rolling Meadows, IL
- Robyn Lyn Brownell
- Marietta Bufalino
- Michael Bukhalo
- Demetrio Hamoy Bustalino
- Robyn Nicole Calvelo
- Carabiner Surgical, LTD.
- David A Carbonell
- Care Wanyana LLC
- Careforte Home Healthcare Inc.
- Castle Chiropractic, LTD.
All providers in Rolling Meadows, IL · Podiatrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.