Individual provider Active NPI

Earl James Campazzi Jr., M.D.

  • General Practice Physician
  • Palm Beach, FL
National Provider Identifier
1407940646
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME69252 Issued in FL
Practice address
251 Royal Palm Way Ste 100a
Palm Beach, FL 33480-4359
Phone
(561) 440-8879
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME69252 FL Primary

Addresses

Primary practice location

251 Royal Palm Way Ste 100a
Palm Beach, FL 33480-4359

Mailing address

2309 Cherokee Cir
West Palm Beach, FL 33409-7410
Phone (561) 440-8879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Lakeview Occupational and Industrial Clinic Dba a Plus Occupational an Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: earl.campazzi@67167039455236.direct.elationemr.com
  • Direct secure messaging: ecampazzi1340320@direct.ccf.org
  • Direct secure messaging: ecampazzi19471@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1407940646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 CHEROKEE CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097410",
            "telephone_number": "561-440-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROYAL PALM WAY STE 100A",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804359",
            "telephone_number": "561-440-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAZZI",
        "first_name": "EARL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME69252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.