Individual provider Active NPI

Osvaldo A Camilo, MD

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1902829898
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
200401180 Issued in NC
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

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N01180MedicaidSC
5904399MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, LA, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060923000046 NC Practitioner - Neurology 6204831399 Reassigns benefits to 1 organization
I20170223000503 LA Practitioner - Neurology 6204831399 Reassigns benefits to 1 organization
I20190618000843 MS Practitioner - Neurology 6204831399 Reassigns benefits to 1 organization

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
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

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

LicenseStateTypeSpecialty
25410MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 1, 2017 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Mar 2, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 1, 2017 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Mar 2, 2019 Accepting new patients
Moses Cone Physician Services, Inc Neurology CurrentSince Jan 28, 2014 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 28, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.