NPIMap

Individual provider Active NPI

Joseph Lewis Campanelli, MD

  • Otolaryngology Physician
  • Redding, CA
National Provider Identifier
1487690749
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G79290 Issued in CA
Practice address
2510 Airpark Dr Ste 301
Redding, CA 96001-2462
Phone
(530) 242-3500
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 45680 MN
Facial Plastic Surgery Physician 207YS0123X 45680 MN
Surgery Physician 208600000X 45860 MN
Otolaryngology Physician 207Y00000X G79290 CA Primary

Addresses

Primary practice location

2510 Airpark Dr Ste 301
Redding, CA 96001-2462

Mailing address

3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

Other identifiers 1

IdentifierTypeStateIssuer
747608600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180410003087 AZ Practitioner - Otolaryngology 5395730790 Reassigns benefits to 1 organization
I20190605001325 CA Practitioner - Otolaryngology 5395730790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Minnesota Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

2510 Airpark Dr
Suite 301
Redding, CA 96001-2462
Phone (530) 242-3500

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79290CAMDOtolaryngology Physician
45680MNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince May 13, 2019 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Mar 3, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Mar 3, 2018 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Allina Health System Past Accepting new patients
Fairview Bethesda Hospital Past Accepting new patients
Healtheast St. John'S Hospital Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Fairview Health Services Past Accepting new patients
Childrens Health Care Past Accepting new patients
Regions Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

2510 Airpark Dr
Ste 106
Redding, CA 96001
Phone (530) 241-9800

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1487690749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR STE 301",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012462",
            "telephone_number": "530-242-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLI",
        "first_name": "JOSEPH",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "45680",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MN",
            "license": "45680",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "45860",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G79290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747608600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.