Individual provider Active NPI

Monica Zanconato Campitruz

  • Family Medicine Physician
  • Levelland, TX
National Provider Identifier
1831687334
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T4875 Issued in TX
Practice address
1900 College Ave
Levelland, TX 79336-6508
Phone
(806) 894-4963
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X T4875 TX Primary

Addresses

Primary practice location

1900 College Ave
Levelland, TX 79336-6508

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230227002889 TX Practitioner - Family Practice 7113390873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Hospital LevellandGroup PAC ID 8527041037, 12 clinicians

Practice addresses (Care Compare)

1900 College Ave
Levelland, TX 79336-6508
Phone (806) 894-4963

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
  • Covenant Hospital Levelland Hospital, Levelland, TX, CCN 450755
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Hospital Levelland CurrentSince Apr 1, 2023 Accepting new patients
Methodist Hospital Levelland Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Covenant Medical Group Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
Covenant Medical Group Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
Methodist Hospital Levelland Past Accepting new patients

Locations

1804 College Ave
Levelland, TX 79336
Phone (806) 894-3141

116 John Dupree Dr
Levelland, TX 79336
Phone (806) 894-1514

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

116 John Dupree Dr
Ste E
Levelland, TX 79336
Phone (806) 894-1514

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

Interoperability endpoints

  • Direct secure messaging: mcampitruz2754822@oc.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1831687334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLLEGE AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366508",
            "telephone_number": "806-894-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANCONATO CAMPITRUZ",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levelland, TX

Sources for this page

Verify at the official NPI Registry.