Individual provider Active NPI

Lanny F Campbell, MD

  • Family Medicine Physician
  • Rupert, ID
National Provider Identifier
1780790147
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-8031 Issued in ID
Practice address
1308 8TH St Ste 1
Rupert, ID 83350-1535
Phone
(208) 436-4322
Fax
(208) 436-1312
NPI assigned
Aug 21, 2006
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-8031 ID
Family Medicine Physician 207Q00000X M-8031 ID Primary

Addresses

Primary practice location

1308 8TH St Ste 1
Rupert, ID 83350-1535

Mailing address

1224 8TH Street
Rupert, ID 83350-1527
Phone (208) 434-8236

Other practice location 1

1224 8th Street
Rupert, ID 83350-1527
Phone (208) 434-8236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001480 ID Practitioner - Family PracticePractitioner - Emergency Medicine 4880678069 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, 38 clinicians

Practice addresses (Care Compare)

1218 9TH St
Suite 10
Rupert, ID 83350-2207
Phone (208) 436-8340

1224 8TH St
Rupert, ID 83350-1527
Phone 20843604813167

1308 8TH St
Suite 1
Rupert, ID 83350-1535
Phone 20843604813167

711 G St
Rupert, ID 83350-1612

90 W 142
Rupert, ID 83350-9384

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care of Twin Falls PA Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Minidoka Memorial Hospital Emergency Medicine CurrentSince Aug 5, 2023 Accepting new patients
Minidoka Memorial Hospital CurrentSince Aug 5, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Minidoka Memorial Hospital Past Accepting new patients
Page Family Medicine Family Medicine Past Accepting new patients

Locations

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

243 Cheney Dr W
#200
Twin Falls, ID 83301
Phone (208) 647-0656

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1780790147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 8TH STREET",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501527",
            "telephone_number": "208-434-8236",
            "fax_number": "208-436-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 8TH ST STE 1",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501535",
            "telephone_number": "208-436-4322",
            "fax_number": "208-436-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th Street",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501527",
            "country_code": "US",
            "telephone_number": "208-434-8236",
            "fax_number": "208-436-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LANNY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-8031",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-8031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.