Active NPI
Larry Campoli, DPM
- Podiatrist
- Gibsonia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC-002928-L
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1362204 | Other | PA | UNITED MINE WORKERS AMER |
| 13943 | Other | PA | ELDERHEALTH |
| 183240 | Other | PA | 65 SPECIAL MEDIGAP BC BS |
| 88375 | Medicaid | PA | |
| 0010721760004 | Medicaid | PA | |
| 1504983 | Medicaid | PA | |
| 183240 | Other | PA | BLUE 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
Enrollment records 1
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
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 100
- Quality
- 73.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 3157 |
| Removal or shaving of skin growth | 395 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC-002928-L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsight Health Care LLC | Current | Accepting new patients | |
| Onsight Health Care, LLC | Podiatrist | Current | 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
- 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.
-
- Optometrist
- Harrisburg, PA
- NPI 1508097411
-
- Gerontology Clinical Nurse Specialist
- Harrisburg, PA
- NPI 1003122458
-
- Podiatrist
- Harrisburg, PA
- NPI 1023249232
-
- Psychiatric/Mental Health Nurse Practitioner
- Beaver, PA
- NPI 1750058202
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
- Damian Louis Cabrera, MT-BC
- Shannon Kathleen Cain, MS, OTR/L
- Joseph Edward Calhoun Jr., D.O.
- Max Callery, OTR/L
- Joanna Marie Cameron, M.A. CCC-SLP
- Erin Elizabeth Castner, MOT, OTR/L
- Cenk Chiropractic at Alexander's, North
- Cenk Chiropractic at Alexanders
- Mary Lori Certo-Rossetti, DO
- Children's Community Care (Children's Community Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.