Individual provider Active NPI

Andrew Campbell, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Altamonte Springs, FL
National Provider Identifier
1659431583
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO4541 Issued in FL
Practice address
616 E Altamonte Dr Ste 205
Altamonte Springs, FL 32701-4810
Phone
(407) 813-2413
Fax
(407) 792-1019
NPI assigned
Dec 11, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4541 FL
Public Medicine Podiatrist 213EP0504X PO4541 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO4541 FL Primary
Radiology Podiatrist 213ER0200X PO4541 FL
Sports Medicine Podiatrist 213ES0000X PO4541 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO4541 FL
Foot Surgery Podiatrist 213ES0131X PO4541 FL

Addresses

Primary practice location

616 E Altamonte Dr Ste 205
Altamonte Springs, FL 32701-4810

Mailing address

616 E. Altamonte Dr Ste 205
Ste #205
Altamonte Springs, FL 32701-4810
Phone (407) 813-2413

Other identifiers 1

IdentifierTypeStateIssuer
123656300MedicaidFL

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905004778 FL Practitioner - Podiatry 0941261432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Podiatry Associates LLCGroup PAC ID 7012447618, 2 clinicians

Practice addresses (Care Compare)

616 E Altamonte Dr
Suite 205
Altamonte Springs, FL 32701-4810
Phone (407) 813-2413

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4541FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Podiatry of Central Florida PA Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Premier Podiatry Associates, LLC Podiatrist CurrentSince Feb 10, 2025 Accepting new patients
Bypass Footcare P.C. Podiatrist Past Accepting new patients
Leg Foot & Ankle Associates PC Foot & Ankle Surgery Past Accepting new patients
Innovative Footcare P.C Podiatrist Past Accepting new patients
Long Island Foot Care, PC Podiatrist PastSince Apr 29, 2011 Accepting new patients

Locations

616 E Altamonte Dr
Ste 205
Altamonte Springs, FL 32701
Phone (407) 331-3668

697 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 497-8446

Interoperability endpoints

  • Direct secure messaging: acampbell20269@sbhny.direct-ci.net
  • Direct secure messaging: andrew.campbell.1@18107.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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1659431583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E. ALTAMONTE DR STE 205",
            "address_2": "STE #205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014810",
            "telephone_number": "407-813-2413",
            "fax_number": "407-792-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E ALTAMONTE DR STE 205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014810",
            "telephone_number": "407-813-2413",
            "fax_number": "407-792-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4541",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "FL",
            "license": "PO4541",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4541",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "FL",
            "license": "PO4541",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO4541",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4541",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO4541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123656300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.