Individual provider Active NPI

John A Campagna, MD

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1942217211
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K1792 Issued in TX
Practice address
414 Navarro St
Suite 400
San Antonio, TX 78205-2516
Phone
(210) 223-5561
Fax
(210) 223-5093
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K1792 TX Primary

Addresses

Primary practice location

414 Navarro St
Suite 400
San Antonio, TX 78205-2516

Mailing address

414 Navarro St
Suite 400
San Antonio, TX 78205-2516
Phone (210) 223-5561

Other identifiers 4

IdentifierTypeStateIssuer
K1792OtherTXPHYSICIAN PERMIT
116875903OtherTXMEDICAID
116875903MedicaidTX
83C279OtherTXMEDICARE PIN

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
I20100327000415 TX Practitioner - Ophthalmology 9739120973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates of San AntonioGroup PAC ID 3476530072, 5 clinicians

Practice addresses (Care Compare)

11907 US Hwy 87 W
Suite 2
Lavernia, TX 78121-4541
Phone (210) 223-5561

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of San Antonio Ophthalmology CurrentSince Feb 25, 2010 Accepting new patients
Valley Retina Institute P.a. Ophthalmology Past Accepting new patients

Locations

1048 E Blanco Rd
Boerne, TX 78006
Phone (830) 249-3241

256 Medical Dr
Jourdanton, TX 78026
Phone (830) 769-2480

11907 US Highway 87 W
Ste 2
Lavernia, TX 78121

3338 Oakwell Ct
Ste 205
San Antonio, TX 78218
Phone (210) 656-3070

1804 NE Loop 410
Ste 270
San Antonio, TX 78217
Phone 2104952020213

414 Navarro St
Ste 400
San Antonio, TX 78205
Phone (210) 225-4810

1200 Brooklyn Ave
Ste 240
San Antonio, TX 78212
Phone (210) 225-4511

Interoperability endpoints

  • Direct secure messaging: campagna@sanantonio.ecldirect.net

Organizations & group practices 2

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 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1942217211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-223-5561",
            "fax_number": "210-223-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-223-5561",
            "fax_number": "210-223-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K1792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PERMIT",
            "identifier": "K1792",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "116875903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116875903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "83C279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.