Alcides Campillo

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

9415128 Issued in FL

Practice address

6249 W 15TH CT
Hialeah, FL 33012-6205

Phone

(786) 374-6540

NPI assigned

Aug 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Context Medical Group IncGroup PAC ID 4486682598, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Context Medical Group, Inc.

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1053366971
  Medicare reassignment Care Compare group NPD
• Medivital Health Center LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1528855343
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1588145254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 W 15TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 W 15TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126205",
            "telephone_number": "786-374-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPILLO",
        "first_name": "ALCIDES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9415128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "F07180821",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanet Camejo
• Diunaidys Camero Pinero
• Cami, LLC
• Lianys Delmis Camilleri Peralta
• Miguel Camino, DDS
• Campo de Estrellas Adult Day Care
• Yusel Campo Sanchez
• Jennifer Lisbeth Campo
• Randhers Campo
• Susana Campos Carrazana

• Primary Care Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.