Individual provider Active NPI

Richard G Campbell, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1891762142
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9309 Issued in TX
Practice address
13722 Embassy Row
Texas Medclinic
San Antonio, TX 78216-2000
Phone
(210) 349-5577
Fax
(210) 491-2843
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H9309 TX Primary

Addresses

Primary practice location

13722 Embassy Row
Texas Medclinic
San Antonio, TX 78216-2000

Mailing address

13722 Embassy Row
Texas Medclinic
San Antonio, TX 78216-2000
Phone (210) 349-5577

Other identifiers 1

IdentifierTypeStateIssuer
131121908MedicaidTX

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
I20041021000225 TX Practitioner - Emergency MedicinePractitioner - Family Practice 5092776294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (726) 207-3656

1922 State Hwy 46 W
New Braunfels, TX 78132-5245
Phone (830) 632-5092

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

8341 Agora Pkwy
Selma, TX 78154-1316
Phone (210) 659-5533

958N Interstate 35
New Braunfels, TX 78130-3731
Phone (830) 606-5533

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC Current Accepting new patients
TMC Provider Group PLLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
TMC Provider Group PLLC CurrentSince Jan 1, 2016 Accepting new patients
Bayside Emergency Pyhsicians, LLP Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Family Medicine Past Accepting new patients

Locations

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

23611 Ih 10 W
Ste 101
San Antonio, TX 78257
Phone (210) 698-6617

11811 Blanco Rd
San Antonio, TX 78216
Phone (210) 341-5588

Organizations & group practices 6

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1891762142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "address_2": "TEXAS MEDCLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "210-349-5577",
            "fax_number": "210-491-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "address_2": "TEXAS MEDCLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "210-349-5577",
            "fax_number": "210-491-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RICHARD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131121908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.