Active NPI
Cody Edward Campbell, DO
- Obstetrics Physician
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 0200135A
- Practice address
- 5900 Byron Center Ave SW
Wyoming, MI 49519-9606 - Phone
- (616) 252-7200
- Fax
- (616) 252-4953
- NPI assigned
- Apr 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 0200135A | IN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Mailing address
3905 12TH St
Wayland, MI 49348-9552
Phone (765) 730-6711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300077237 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Marian University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13420 N Meridian St
Carmel, IN 46032-1581
Phone (317) 573-7050
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0200135A | IN | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Seven Hills OB-GYN Associates, LLC | Obstetrics | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Seven Hills OB-GYN Associates LLC | Obstetrics | Current | Accepting new patients |
| Obstetrics & Gynecology of Indiana, LLC | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718
13420 N Meridian St
Ste 400
Carmel, IN 46032
Phone (317) 573-7050
13914 Southeastern Pkwy
Ste 314
Fishers, IN 46037
Phone (317) 872-1415
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454
4008 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3024
380 S Junction Xing
#B
Westfield, IN 46074
Phone (317) 573-7050
Interoperability endpoints
- ccampbell106920@direct.metrohealth.net
- cody.campbell@axia.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1396350187
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1942290143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1801359690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 12TH ST",
"city": "WAYLAND",
"state": "MI",
"postal_code": "493489552",
"telephone_number": "765-730-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-7200",
"fax_number": "616-252-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CODY",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IN",
"license": "0200135A",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300077237",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.