Active NPI
Rafael Campo, M.D.
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1699848846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 81818
- Practice address
- Beth Israel Deaconess Med Ctr
330 Brookline Avenue
Boston, MA 02215 - Phone
- (617) 667-9600
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 81818 | MA | Primary |
Addresses
Primary practice location
Beth Israel Deaconess Med Ctr
330 Brookline Avenue
Boston, MA 02215
Mailing address
Beth Israel Deaconess Med Ctr
330 Brookline Avenue
Boston, MA 02215
Phone (617) 667-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699848846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BETH ISRAEL DEACONESS MED CTR",
"address_2": "330 BROOKLINE AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BETH ISRAEL DEACONESS MED CTR",
"address_2": "330 BROOKLINE AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "RAFAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "81818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.