Active NPI
Roberta Spencer Del Campo, M.D.
- Dermatology Physician
- Miami Beach, FL
National Provider Identifier
1730491135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME119197
- Practice address
- 555 Washington Avenue
S. 210
Miami Beach, FL 33139 - Phone
- (305) 672-1233
- Fax
- (305) 673-6422
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME119197 | FL | Primary |
Addresses
Primary practice location
555 Washington Avenue
S. 210
Miami Beach, FL 33139
Mailing address
555 Washington Avenue
S. 210
Miami Beach, FL 33139
Phone (305) 672-1233
Other names 1
- Roberta Ann Spencer
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140818000247 | FL | Practitioner - Dermatology | 6406090232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin and Cancer Associates | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Plantation, FL
- NPI 1740737576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1730491135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 WASHINGTON AVENUE",
"address_2": "S. 210",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33139",
"telephone_number": "305-672-1233",
"fax_number": "305-673-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WASHINGTON AVENUE",
"address_2": "S. 210",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33139",
"telephone_number": "305-672-1233",
"fax_number": "305-673-6422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL CAMPO",
"first_name": "ROBERTA",
"middle_name": "SPENCER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME119197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERTA",
"last_name": "SPENCER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.