Individual provider Active NPI

Dana Alan Campbell, M.D.

  • Nephrology Physician
  • Belleair, FL
National Provider Identifier
1902873623
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME93564 Issued in FL
Practice address
401 Corbett St Ste 250
Belleair, FL 33756-7310
Phone
(727) 734-2485
Fax
(888) 972-3760
NPI assigned
Mar 1, 2006
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME93564 FL Primary

Addresses

Primary practice location

401 Corbett St Ste 250
Belleair, FL 33756-7310

Mailing address

401 Corbett St Ste 250
Belleair, FL 33756-7310
Phone (727) 734-2485

Other practice location 1

2725 Park Dr Ste 5
Clearwater, FL 33763-1023
Phone (727) 734-2485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050819000588 FL Practitioner - NephrologyPractitioner - Internal Medicine 0345159042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Corbett St
Suite 250
Belleair, FL 33756-7310
Phone (727) 734-2485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93564FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Institute of North Dakota, LLC Current Accepting new patients
Da Campbell MD PA Nephrology CurrentSince Dec 3, 2012 Accepting new patients
Vidya Sagar MD PA Nephrology CurrentSince Feb 19, 2012 Accepting new patients
Nephrology Consultants of Pinellas LLC Nephrology Past Accepting new patients
Kidney Institute of Naples, LLC PastSince Apr 15, 2005 Accepting new patients

Locations

401 Corbett St
Ste 250
Belleair, FL 33756
Phone (727) 710-6000

2725 Park Dr
Ste 5
Clearwater, FL 33763
Phone (727) 733-3500

617 Lakeview Rd
Ste C
Clearwater, FL 33756
Phone (727) 441-2913

2196 Main St
Ste H
Dunedin, FL 34698
Phone (727) 330-7769

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFDCD/Endpoint/FIFDCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1902873623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST STE 250",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337567310",
            "telephone_number": "727-734-2485",
            "fax_number": "888-972-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST STE 250",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337567310",
            "telephone_number": "727-734-2485",
            "fax_number": "888-972-3760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 Park Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337631023",
            "country_code": "US",
            "telephone_number": "727-734-2485",
            "fax_number": "888-972-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DANA",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME93564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleair, FL

Sources for this page

Verify at the official NPI Registry.