NPIMap

Individual provider Active NPI

Carolina Ocampo, M.D.

  • Family Medicine Physician
  • Highland, IN
National Provider Identifier
1548476237
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01058122A Issued in IN
Practice address
3100 45TH St
Suite 3
Highland, IN 46322-3289
Phone
(219) 922-6911
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01058122A IN Primary

Addresses

Primary practice location

3100 45TH St
Suite 3
Highland, IN 46322-3289

Mailing address

3100 45TH St
Suite 3
Highland, IN 46322-3289
Phone (219) 922-6911

Other identifiers 2

IdentifierTypeStateIssuer
200518840MedicaidIN
90001215OtherILBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000235 IN Practitioner - Family Practice 1658285226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

3100 45TH St
Highland, IN 46322-3289
Phone (219) 922-6911

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058122AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Community Care Network Inc Family Medicine CurrentSince Aug 15, 2018 Accepting new patients
219 Health Network Inc Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
St. Catherine Hospital Inc. Past Accepting new patients
219 Health Network, Inc. Family Medicine Past Accepting new patients

Locations

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

3100 45th St
Ste 3
Highland, IN 46322
Phone (219) 922-6911

8141 Kennedy Ave
Highland, IN 46322
Phone (219) 838-5040

3100 45th St
Ste 4
Highland, IN 46322
Phone (219) 922-6911

3100 45th St
Highland, IN 46322
Phone (219) 922-6099

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

Interoperability endpoints

  • Direct secure messaging: cocampo7166@ssdirect.comhs.org

Organizations & group practices 5

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 6

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1548476237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 45TH ST",
            "address_2": "SUITE 3",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223289",
            "telephone_number": "219-922-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 45TH ST",
            "address_2": "SUITE 3",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223289",
            "telephone_number": "219-922-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "CAROLINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058122A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200518840",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "90001215",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.