Individual provider Active NPI

Edward Bruce Kampsen, M.D.

  • Otolaryngology Physician
  • Tampa, FL
National Provider Identifier
1952306755
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0026974 Issued in FL
Practice address
2835 W de Leon St
#202
Tampa, FL 33609-4130
Phone
(813) 877-2685
Fax
(813) 876-5872
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0026974 FL Primary

Addresses

Primary practice location

2835 W de Leon St
#202
Tampa, FL 33609-4130

Mailing address

2835 W de Leon St
#202
Tampa, FL 33609-4130
Phone (813) 877-2685

Other identifiers 1

IdentifierTypeStateIssuer
039273100MedicaidFL

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
I20100330000869 FL Practitioner - Otolaryngology 1850427725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2835 W Deleon St
Suite 202
Tampa, FL 33609-4130
Phone (813) 877-2685

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
40.77 of 100Reported as individual
Quality
60.5
Promoting interoperability
0
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0026974FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward B Kampsen MD PA Otolaryngology CurrentSince Feb 18, 2010 Accepting new patients
Tampa General Hospital Current Accepting new patients
Kampsen Hearing LLC Past Accepting new patients

Locations

2835 W De Leon St
Ste 202
Tampa, FL 33609
Phone (813) 877-2685

Interoperability endpoints

  • Direct secure messaging: clinical@ebk.directbygreenway.com
  • Direct secure messaging: ekampsen8194@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: edkampsen@ebkent.emadirect.md

Organizations & group practices 3

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 6

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1952306755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "#202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "813-877-2685",
            "fax_number": "813-876-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "#202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "813-877-2685",
            "fax_number": "813-876-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPSEN",
        "first_name": "EDWARD",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "0026974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039273100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.