Individual provider Active NPI

Mark Doran Campbell, MD

  • Orthopaedic Surgery Physician
  • Sun City West, AZ
National Provider Identifier
1619918745
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25777 Issued in AZ
Practice address
14520 W Granite Valley Dr
Ste 210
Sun City West, AZ 85375-5855
Phone
(623) 537-5600
Fax
(866) 939-2673
NPI assigned
Jun 9, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25777 AZ Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 25777 AZ
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25777 AZ

Addresses

Primary practice location

14520 W Granite Valley Dr
Ste 210
Sun City West, AZ 85375-5855

Mailing address

18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1266
Phone (623) 537-5600

Other practice location 1

10484 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-6019
Phone (866) 974-2673

Other practice location 2

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Other identifiers 7

IdentifierTypeStateIssuer
5550830003OtherAZMEDICARE NSC PEORIA
401448MedicaidAZ
P00207821OtherAZRR MEDICARE
5550830009OtherAZMEDICARE NSC AZ NORTH
5550830001OtherAZMEDICARE NSC SCW
5550830007OtherAZMEDICARE NSC DV
5550830010OtherAZMEDICARE NSC GILBERT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050413000055 AZ Practitioner - Orthopedic Surgery 6204873144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14520 W Granite Valley Dr
Suite 210
Sun City West, AZ 85375-5855
Phone (866) 974-2673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as individual
Quality
80.33
Promoting interoperability
100
Improvement activities
40
Cost
72.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement84
Knee replacement202
Lower limb (leg) arthroscopy (minimally invasive joint repair)29
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25777AZMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education LLC CurrentSince Jan 1, 2005 Accepting new patients
Center for Orthopedic Research and Education, LLC Orthopaedic Surgery CurrentSince Jan 1, 2005 Accepting new patients
City of Hope Medical Group of Arizona LLC CurrentSince Nov 27, 2020 Accepting new patients
Longview Orthopedic Associates, PLLC Orthopaedic Surgery Past Accepting new patients
Institute for Bone and Joint Disorders PC Orthopaedic Surgery Past Accepting new patients
Arizona Neurological Institute, PC Past Accepting new patients

Locations

2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 454-7680

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

11851 N 51st Ave
Ste 210
Glendale, AZ 85304
Phone (855) 506-3876

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (669) 742-6738

10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

9305 W Thomas Rd
Ste 275
Phoenix, AZ 85037
Phone (623) 327-4144

9321 W Thomas Rd
Ste 205
Phoenix, AZ 85037

7304 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 342-9999

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10484 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (669) 742-6738

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

10503 W Thunderbird Blvd
Ste 262
Sun City, AZ 85351
Phone (623) 832-5589

13640 N 99th Ave
Ste 100
Sun City, AZ 85351
Phone (602) 463-4872

14420 W Meeker Blvd
Ste 300
Sun City West, AZ 85375
Phone (623) 583-5083

14510 W Shumway Dr
Ste 101
Sun City West, AZ 85375
Phone (623) 544-7755

13995 W Statler Blvd
Ste 165
Surprise, AZ 85374
Phone (623) 537-5661

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: mark.campbell.1@22724.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1619918745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "623-537-5600",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 W GRANITE VALLEY DR",
            "address_2": "STE 210",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755855",
            "telephone_number": "623-537-5600",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10484 W Thunderbird Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853516019",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18444 N 25th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231264",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARK",
        "middle_name": "DORAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "25777",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "25777",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AZ",
            "license": "25777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC PEORIA",
            "identifier": "5550830003",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401448",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00207821",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC AZ NORTH",
            "identifier": "5550830009",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC SCW",
            "identifier": "5550830001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC DV",
            "identifier": "5550830007",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC GILBERT",
            "identifier": "5550830010",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.