Douglas E Campbell, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NOO5147 Issued in NY

Practice address

4626 New Utrecht Avenue
Brooklyn, NY 11219-2554

Phone

(718) 853-7469

Fax

(718) 972-7679

NPI assigned

Aug 1, 2005

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 NY

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

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Health Center IncGroup PAC ID 1951290204, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: douglascampbell@mai.allscriptsdirect.net

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.

• Campbell Podiatry PC

  • Podiatric Clinic/Center
  • Brooklyn, NY
  • NPI 1467837773
  Medicare reassignment NPD Authorized official
• Union Health Center, Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1871639989
  Medicare reassignment Care Compare group NPD
• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846
  Medicare reassignment NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Union Health Center

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013900315
  NPD
• Pyramid Builders

  • Case Management Agency
  • Boston, MA
  • NPI 1942697248
  NPD (past)
• Pyramid Builders Associates, Inc

  • Community/Behavioral Health Agency
  • Boston, MA
  • NPI 1164622551
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  Care Compare affiliation

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1366442360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 NEW UTRECHT AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192554",
            "telephone_number": "718-853-7469",
            "fax_number": "718-972-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 NEW UTRECHT AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192554",
            "telephone_number": "718-853-7469",
            "fax_number": "718-972-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Campbell, COTA
• Coralace Campbell
• Danicia Campbell
• Daphnelyn Campbell
• Dennis Campbell, LMSW
• Elishe Campbell
• Fitzroy George Campbell, D.M.D.
• Floyd Campbell
• Geoffrey Campbell, DO
• Giselle Campbell, M.S., CCC-SLP, TSSLD

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.