Individual provider Active NPI

Larry Campoli, DPM

  • Podiatrist
  • Gibsonia, PA
National Provider Identifier
1841393816
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC-002928-L Issued in PA
Practice address
5830 Meridian Rd
Gibsonia, PA 15044-9668
Phone
(724) 443-7231
Fax
(734) 443-4467
NPI assigned
Sep 6, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC-002928-L PA Primary

Addresses

Primary practice location

5830 Meridian Rd
Gibsonia, PA 15044-9668

Mailing address

PO Box 2413
Cranberry TWP, PA 16066-1413
Phone (724) 935-9030

Other identifiers 7

IdentifierTypeStateIssuer
1362204OtherPAUNITED MINE WORKERS AMER
13943OtherPAELDERHEALTH
183240OtherPA65 SPECIAL MEDIGAP BC BS
88375MedicaidPA
0010721760004MedicaidPA
1504983MedicaidPA
183240OtherPABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000565 PA Practitioner - Podiatry 1153311022 Reassigns benefits to 1 organization
Practice locations: Gibsonia, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsight Health Care, LLCGroup PAC ID 0840338059, 32 clinicians

Practice addresses (Care Compare)

2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Phone 50224424205415

Merit-based Incentive Payment System (MIPS)

Final score
96.88 of 100Reported as group
Quality
73.37
Promoting interoperability
100
Improvement activities
40
Cost
82.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions20
Removal of nail tissue3157
Removal or shaving of skin growth395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-002928-LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight Health Care LLC CurrentSince Oct 1, 2018 Accepting new patients
Onsight Health Care, LLC Podiatrist CurrentSince Oct 1, 2018 Accepting new patients
Onsight Health Care LLC Current Accepting new patients
P360 Care Services PLLC Dba Psych 360 Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

3876 Saxonburg Blvd
Cheswick, PA 15024
Phone (412) 767-4998

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

1717 Skyline Dr
Pittsburgh, PA 15227
Phone (412) 881-6168

955 Rivermont Dr
Pittsburgh, PA 15207
Phone (412) 422-6800

303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708

Interoperability endpoints

  • Direct secure messaging: larry.campoli.p10@direct.360care.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841393816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2413",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160661413",
            "telephone_number": "724-935-9030",
            "fax_number": "724-776-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449668",
            "telephone_number": "724-443-7231",
            "fax_number": "734-443-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOLI",
        "first_name": "LARRY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-002928-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS AMER",
            "identifier": "1362204",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH",
            "identifier": "13943",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "65 SPECIAL MEDIGAP BC BS",
            "identifier": "183240",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88375",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010721760004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504983",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "183240",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.