Individual provider Active NPI

Leopold G Campbell, MD

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1962451765
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101255209 Issued in VA
Practice address
4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605
Phone
(540) 772-8043
Fax
(540) 772-8242
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 0101255209 VA
Internal Medicine Physician 207R00000X 0101255209 VA Primary

Addresses

Primary practice location

4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605

Mailing address

4730 Sussex CT Apt G
Roanoke, VA 24018-2348
Phone (704) 591-2819

Other identifiers 3

IdentifierTypeStateIssuer
1383POtherNCBCBS OF NC
8533938OtherNCCIGNA
5901417MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240327002850 VA Practitioner - Internal MedicinePractitioner - Addiction Medicine 2466415948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Brief Therapy, Inc.Group PAC ID 3971654005, 13 clinicians

Practice addresses (Care Compare)

4346 Starkey Rd
Suite 1
Roanoke, VA 24018-0605
Phone (540) 772-8043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255209VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Brief Therapy, Inc. CurrentSince Jan 13, 2024 Accepting new patients
Primedoc Park Ridge PA Internal Medicine Past Accepting new patients
Sterling Hospitalist Services of North Carolina Inc. Internal Medicine Past Accepting new patients

Locations

4346 Starkey Rd
Ste 1
Roanoke, VA 24018

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1962451765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 SUSSEX CT APT G",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182348",
            "telephone_number": "704-591-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 STARKEY RD STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180605",
            "telephone_number": "540-772-8043",
            "fax_number": "540-772-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LEOPOLD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101255209",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1383P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8533938",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901417",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.