Active NPI
Kristin Elizabeth Campbell, D.O.
- Internal Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102205659
- Practice address
- 600 Gresham Dr FL 5
Norfolk, VA 23507-1904 - Phone
- (757) 388-3198
- Fax
- (757) 388-4242
- NPI assigned
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0102205659 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 0102205659 | VA | Primary |
Addresses
Primary practice location
600 Gresham Dr FL 5
Norfolk, VA 23507-1904
Mailing address
600 Gresham Dr FL 5
Norfolk, VA 23507-1904
Phone (757) 388-3198
Other practice location 1
34 Commerce Ave
Suite 1
Riverhead, NY 11901-3118
Phone (631) 388-6215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20190806003751 | VA | Practitioner - Internal Medicine | 6608164819 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- William Carey University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sentara Medical Group
Practice addresses (Care Compare)
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3198
Hospital & facility affiliations
- Sentara Norfolk General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
600 Gresham Dr
Fl 5
Norfolk, VA 23507
Phone (757) 388-3198
600 Gresham Dr
Ste 5B
Norfolk, VA 23507
Phone (757) 388-3198
600 Gresham Dr
#5B
Norfolk, VA 23507
Phone (757) 388-3198
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Virginia Beach, VA
- NPI 1053350322
-
- Diagnostic Radiology Physician
- Chesapeake, VA
- NPI 1487195111
Hospital & facility affiliations 2
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": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1306226956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 GRESHAM DR FL 5",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-3198",
"fax_number": "757-388-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR FL 5",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-3198",
"fax_number": "757-388-4242"
}
],
"practiceLocations": [
{
"address_1": "34 Commerce Ave",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119013118",
"country_code": "US",
"telephone_number": "631-388-6215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KRISTIN",
"middle_name": "ELIZABETH",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0102205659",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102205659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.