Active NPI
Andrew Campbell, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- PO4541
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123656300 | Medicaid | FL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
616 E Altamonte Dr
Suite 205
Altamonte Springs, FL 32701-4810
Phone (407) 813-2413
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4541 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Podiatry of Central Florida PA | Podiatrist | Current | Accepting new patients |
| Premier Podiatry Associates, LLC | Podiatrist | Current | 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 | Past | 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
- acampbell20269@sbhny.direct-ci.net
- 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.
-
dba Premier Podiatry Associates
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1700691672
-
- Podiatrist
- Altamonte Springs, FL
- NPI 1265081632
-
- Podiatrist
- Hauppauge, NY
- NPI 1003936212
-
- Podiatrist
- Bronx, NY
- NPI 1689795890
-
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1316362577
-
- Podiatrist
- Freeport, NY
- NPI 1780802264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.