Individual provider Active NPI

John A Campa III, MD

  • Neurology Physician
  • Albuquerque, NM
National Provider Identifier
1457531022
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD2007-0652 Issued in NM
Practice address
7520 Montgomery Blvd NE BLDG E4
Albuquerque, NM 87109-1554
Phone
(505) 508-1543
Fax
(505) 554-2118
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X MD2007-0652 NM
Neurology Physician 2084N0400X MD2007-0652 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE BLDG E4
Albuquerque, NM 87109-1554

Mailing address

7520 Montgomery Blvd NE BLDG E4
Albuquerque, NM 87109-1554
Phone (505) 508-1543

Other names 1

  • Ascencion John Campa III Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190227000830 NM Practitioner - NeurologyPractitioner - Pain Management 5294074852 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7520 Montgomery Blvd NE
Suite E 4
Albuquerque, NM 87109-1554

7520 Montgomery Blvd NE E
4 John a Campa III MD PC
Albuquerque, NM 87109-1554
Phone (505) 508-1543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1457531022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091554",
            "telephone_number": "505-508-1543",
            "fax_number": "505-554-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091554",
            "telephone_number": "505-508-1543",
            "fax_number": "505-554-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPA",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NM",
            "license": "MD2007-0652",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2007-0652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASCENCION",
            "last_name": "CAMPA",
            "middle_name": "JOHN",
            "suffix": "III",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.