Active NPI
Luis M Campillo, MD
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1922054352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 64856
- Practice address
- 6850 Coral Way Ste 502
Miami, FL 33155-1758 - Phone
- (305) 456-1600
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 64856 | FL | Primary |
Addresses
Primary practice location
6850 Coral Way Ste 502
Miami, FL 33155-1758
Mailing address
6850 Coral Way Ste 502
Miami, FL 33155-1758
Phone (305) 456-1600
Other practice location 1
3485 W Flagler St Ste 300
Miami, FL 33135-1042
Phone (305) 456-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105806400 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 64856 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Circle Health Inc | Current | Accepting new patients | |
| General Rehabilitation Facility Co | Current | Accepting new patients | |
| Professional Health Center Corp | Family Medicine | Past | Accepting new patients |
| First United Medical Center Inc | Past | Accepting new patients | |
| Naples Injury Center Inc | Past | Accepting new patients | |
| Campillo Medical Inc | Family Medicine | Past | Accepting new patients |
| Policlinico Pastorita Inc | Past | Accepting new patients | |
| Zorrilla Medical Center Inc | Past | Accepting new patients | |
| Naples Injury Center #2 Inc | Past | Accepting new patients | |
| Personal Care Medical Center Inc | Family Medicine | Past | Accepting new patients |
| Rafael Pelegrin M.D,Medical GRP, LLC | Past | Accepting new patients | |
| Healing at Hand, Inc. | Past | Accepting new patients |
Locations
600 E 25th St
Ste F
Hialeah, FL 33013
Phone (305) 691-0112
12900 SW 128th St
Ste 204B
Miami, FL 33186
Phone (786) 227-6020
Organizations & group practices 13
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.
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- Family Medicine Physician
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- NPI 1417176397
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- Behavior Analyst
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- NPI 1750157236
-
- General Practice Physician
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- NPI 1528045036
-
- Clinic/Center
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- NPI 1679804918
-
- Point of Service
- Clewiston, FL
- NPI 1407915374
-
- Point of Service
- Naples, FL
- NPI 1831258797
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- Family Medicine Physician
- N Miami Beach, FL
- NPI 1629277819
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- General Practice Physician
- Miami, FL
- NPI 1891746525
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- Family Medicine Physician
- Miami, FL
- NPI 1770794174
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- Clinic/Center
- Miami, FL
- NPI 1962457929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1922054352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 CORAL WAY STE 502",
"city": "MIAMI",
"state": "FL",
"postal_code": "331551758",
"telephone_number": "305-456-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 CORAL WAY STE 502",
"city": "MIAMI",
"state": "FL",
"postal_code": "331551758",
"telephone_number": "305-456-1600"
}
],
"practiceLocations": [
{
"address_1": "3485 W Flagler St Ste 300",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331351042",
"country_code": "US",
"telephone_number": "305-456-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPILLO",
"first_name": "LUIS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 64856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105806400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.