Individual provider Active NPI

Cody Edward Campbell, DO

  • Obstetrics Physician
  • Wyoming, MI
National Provider Identifier
1801359690
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
0200135A Issued in IN
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

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300077237MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621001360 IN Practitioner - Obstetrics/Gynecology 3678808730 Reassigns benefits to 2 organizations

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
Seven Hills OB-GYN Associates LLCGroup PAC ID 0749188142, 88 clinicians

Practice addresses (Care Compare)

13420 N Meridian St
Carmel, IN 46032-1581
Phone (317) 573-7050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0200135AINMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Aug 7, 2023 Accepting new patients
Seven Hills OB-GYN Associates, LLC Obstetrics CurrentSince Jan 6, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 7, 2023 Accepting new patients
Seven Hills OB-GYN Associates LLC Obstetrics CurrentSince Jan 6, 2025 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

  • Direct secure messaging: ccampbell106920@direct.metrohealth.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.