Thomas J Campbell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036042217 Issued in IL

Practice address

800 Austin St
Ste 451E
Evanston, IL 60202-3455

Phone

(847) 316-6611

NPI assigned

May 27, 2005

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tcampbell10406@ce-direct.presencehealth.org

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.

• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1972506665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "STE 451E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023455",
            "telephone_number": "847-316-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "STE 451E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023455",
            "telephone_number": "847-316-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036042217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042217",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcampbell10406@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "800 Austin St",
            "address_2": "Ste 451E",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602023455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cammi, LLC
• Franco Campanella, D.O.
• Angela Chermayne Campbell
• Jean E Campbell, MSW
• Nicholas Paul Campbell, MD
• Sophie Ann Canade, ATR, LPC
• Rachel M Canel, CRNA
• Renee Canik
• Barbara Trinidad Canlas, DDS
• Carol R Cann, MA, LCPC, CADC

• Internal Medicine Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.