Organization Active NPI

Helar Campos MD & Associates Family Medical Center, LLC

  • Family Medicine Physician
  • New London, CT
National Provider Identifier
1760606602
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HELAR CAMPOS MD & ASSOCIATES FAMILY MEDICAL CENTER, LLC
Practice address
435 Montauk Ave
New London, CT 06320-4621
Phone
(860) 444-7400
Fax
(860) 444-7401
NPI assigned
Apr 12, 2007
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Helar Edgar Campos, MDNPI 1558437269
Title
Owner
Phone
(860) 444-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

435 Montauk Ave
New London, CT 06320-4621

Mailing address

PO Box 1466
Brookfield, WI 53008-1466
Phone (262) 788-9229

Other practice location 1

26 Lafayette St
Norwich, CT 06360-3408
Phone (860) 889-7321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070518000440 CT Part B Supplier - Clinic/Group Practice 0143327528 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: New London, CT; Norwich, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0932819Helar Campos MD & Associates Family Medical Center26 Lafayette Street, Norwich, CT 06360Certificate of waiverAug 27, 2027
07D1069340Helar Campos MD & Associates435 Montauk Avenue, New London, CT 06320Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Locations

26 Lafayette St
Norwich, CT 06360
Phone 86059945551

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1760606602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530081466",
            "telephone_number": "262-788-9229",
            "fax_number": "262-788-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204621",
            "telephone_number": "860-444-7400",
            "fax_number": "860-444-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063603408",
            "country_code": "US",
            "telephone_number": "860-889-7321",
            "fax_number": "860-886-6527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HELAR CAMPOS MD & ASSOCIATES FAMILY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "HELAR",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-444-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.