Active NPI
Edward Bruce Kampsen, M.D.
- Otolaryngology Physician
- Tampa, FL
National Provider Identifier
1952306755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0026974
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039273100 | 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
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
- HCA Florida South Tampa Hospital
- Adventhealth Tampa
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.77 of 100
- Quality
- 60.5
- Promoting interoperability
- 0
- Improvement activities
- 20
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0026974 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward B Kampsen MD PA | Otolaryngology | Current | 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
- clinical@ebk.directbygreenway.com
- ekampsen8194@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Otolaryngology Physician
- Tampa, FL
- NPI 1699971804
-
- Audiologist
- Tampa, FL
- NPI 1427521970
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.