Cecilio Douglas Campbell, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1006 Issued in FL

Practice address

9853 SW 40TH St
Miami, FL 33165-3993

Phone

(305) 223-4685

NPI assigned

Feb 8, 2017

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

General Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Las Mercedes, LLCGroup PAC ID 5890750731, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinica Las Mercedes, LLC

  dba Las Mercedes Medical Centers

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1326090960

  General Practice

  Medicare reassignment Care Compare group NPD
• Project Access Foundation Inc

  • Clinic/Center
  • Hialeah, FL
  • NPI 1427270412

  General Practice

  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  General Practice

  Medicare reassignment NPD
• Clinica Las Mercedes, LLC

  dba Las Mercedes Medical Centers

  • Geriatric Medicine (Internal Medicine) Physician
  • North Miami, FL
  • NPI 1245811348
  NPD
• Clinica Las Mercedes, LLC

  dba Las Mercedes Medical Centers

  • Multi-Specialty Clinic/Center
  • Tamarac, FL
  • NPI 1518673565
  NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1952849168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 SW 119TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834864",
            "telephone_number": "786-535-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9853 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653993",
            "telephone_number": "305-223-4685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 SW 70th St",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331433419",
            "country_code": "US",
            "telephone_number": "305-284-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS CAMPBELL",
        "first_name": "CECILIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023885300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonelle K Dougery, LMHC, CAP
• Brian Edward Dougherty, M.D.
• Ruth Doughty-Scipio, LMT
• Douglas a. Hollern MD P.a
• Douglas B Shapiro MD PA
• Douglas Diagnostic Center,Inc
• Douglas Gardens Home Care, Inc.
• Douglas Gardens Hospice, Inc.
• Douglas Medical Billing Services, Inc.
• Douglas Medical Center, LLC

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.