Active NPI
Mark C Campigotto, D.O.
- Internal Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DR.0060812
- Practice address
- 1400 Jackson St
Denver, CO 80206 - Phone
- (303) 388-4461
- Fax
- (303) 270-2206
- NPI assigned
- Mar 23, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.066886 | IL | |
| Internal Medicine Physician | 207R00000X | DR.0060812 | CO | Primary |
Addresses
Primary practice location
1400 Jackson St
Denver, CO 80206
Mailing address
1400 Jackson St
Denver, CO 80206-2762
Phone (303) 388-4461
Other practice location 1
1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-9340
Other practice location 2
1707 Cole Blvd Ste 100
Golden, CO 80401-3219
Phone (303) 763-4900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJHealth@njc.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Internal Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1707 Cole Blvd
Suite 100And150
Golden, CO 80401-3220
Phone (702) 480-2550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0060812 | CO | MD | Internal Medicine Physician |
| 125.066886 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| New West Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| New West Physicians Inc | Current | Accepting new patients |
Locations
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
1707 Cole Blvd
Ste 100150
Golden, CO 80401
1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013
1707 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 233-8295
Interoperability endpoints
- mcampigotto119387@westdirect.optum.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.
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Internal Medicine Physician
- Golden, CO
- NPI 1427010859
-
- Family Medicine Physician
- Golden, CO
- NPI 1730797630
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1891326161
-
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1891189478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 JACKSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802062762",
"telephone_number": "303-388-4461",
"fax_number": "303-398-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 JACKSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "80206",
"telephone_number": "303-388-4461",
"fax_number": "303-270-2206"
}
],
"practiceLocations": [
{
"address_1": "1775 Ballard Rd",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681005",
"country_code": "US",
"telephone_number": "847-318-9340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1707 Cole Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Golden",
"state": "CO",
"postal_code": "804013219",
"country_code": "US",
"telephone_number": "303-763-4900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPIGOTTO",
"first_name": "MARK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-23",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.066886",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0060812",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NJHealth@njc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1400 Jackson St",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "80206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.