Individual provider Active NPI

Kyle Dagan Campbell, MD

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1629285747
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD60217468 Issued in WA
Practice address
600 Broadway Ste 270
Seattle, WA 98122-5392
Phone
(206) 625-0578
Fax
(206) 625-9184
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 55906-020 WI
Anesthesiology Physician 207L00000X 53159 TN
Anesthesiology Physician 207L00000X 0101242466 VA
Anesthesiology Physician 207L00000X MD60217468 WA Primary

Addresses

Primary practice location

600 Broadway Ste 270
Seattle, WA 98122-5392

Mailing address

PO Box 840842
Dallas, TX 75284-0842
Phone (206) 625-0578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180907001716 NC Practitioner - Anesthesiology 7214106988 Reassigns benefits to 1 organization
I20231010001180 WA Practitioner - Anesthesiology 7214106988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-2742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
80.9
Improvement activities
40
Cost
75.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

LicenseStateTypeSpecialty
0101242466VAMDAnesthesiology Physician
55906-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Jul 4, 2018 Accepting new patients
Western Washington Medical Group, Inc, PS CurrentSince Aug 25, 2023 Accepting new patients
Physicians Anesthesia Service PLLC Anesthesiology Current Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

600 Broadway
Ste 270
Seattle, WA 98122
Phone (206) 381-0269

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

Organizations & group practices 3

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 2

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1629285747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840842",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840842",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY STE 270",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225392",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KYLE",
        "middle_name": "DAGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "55906-020",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "53159",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101242466",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60217468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.