Active NPI
Osvaldo A Camilo, MD
- Neurology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 200401180
- Practice address
- 1918 Randolph Rd
Suite 400
Charlotte, NC 28207-1100 - Phone
- (704) 384-9437
- Fax
- (704) 384-9440
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 304515 | LA | |
| Neurology Physician | 2084N0400X | 200401180 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd
Suite 400
Charlotte, NC 28207-1100
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9437
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N01180 | Medicaid | SC | |
| 5904399 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25410 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc | Neurology | Current | Accepting new patients |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Ochsner Clinic Foundation | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
1200 N Elm St
#5
Greensboro, NC 27401
Phone (336) 832-5777
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
Interoperability endpoints
- ocamilo454334@direct.ochsner.org
Organizations & group practices 10
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
- New Orleans, LA
- NPI 1538151428
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
- Neurology Physician
- Greensboro, NC
- NPI 1255609038
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1477077477
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1972003838
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1053360651
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1902829898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-9437",
"fax_number": "704-384-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD",
"address_2": "SUITE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071100",
"telephone_number": "704-384-9437",
"fax_number": "704-384-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILO",
"first_name": "OSVALDO",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "304515",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "200401180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N01180",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904399",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.