CAMPBELL MEDICAL SERVICES, LLC
NPI 1023263589
Internal Medicine in West Haven, CT
NPI Status: Active since November 25, 2008
Contact Information
755 CAMPBELL AVE
SUITE 3
WEST HAVEN, CT
ZIP 06516
Phone: (203) 937-1100
Fax: (203) 937-1102
- Organization
- Internal Medicine
- CLIA Number: 07D1100207
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-01-2027
About CAMPBELL MEDICAL SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Campbell Medical Services, Llc, an internist established in West Haven, Connecticut operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1023263589 assigned on November 2008. The practitioner's primary taxonomy code is 207R00000X with license number 036182 (CT). The provider is registered as an organization and their NPI record was last updated 11 years ago. Campbell Medical Services, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Channa D. Perera M.d. (Owner)
- NPI
- 1023263589
- Provider Name
- CAMPBELL MEDICAL SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 755 CAMPBELL AVE SUITE 3 WEST HAVEN, CT 06516
- Location Phone
- (203) 937-1100
- Location Fax
- (203) 937-1102
- Mailing Address
- 755 CAMPBELL AVE SUITE 3 WEST HAVEN, CT 06516
- Mailing Phone
- (203) 937-1100
- Mailing Fax
- (203) 937-1102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-25-2008
- Last Update Date
- 11-18-2014
- Code Navigator
An internist like Campbell Medical Services, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036182
- License State
- CT
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 005583 (CT) |
| 2 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 002961 (CT) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D1100207
- Facility Type
- Physician Office
- Certificate Effective Date
- June 02, 2025
- Certificate Expiration Date
- June 01, 2027
- Laboratory Director
- CHANDRA D. PERERA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Campbell Medical Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 2 | 6 | 3 | 5 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 4 | 6 | 6 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 4 + 6 + 6 + 5 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1023263589 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154520062 | FAMILY PHYSICIANS OF WEST HAVEN,LLC Organization | Internal Medicine | 755 CAMPBELL AVE WEST HAVEN, CT 06516 (203) 931-2828 |
| 1356687495 | MRS. VIRGINIA LOUISE SHERRICK APRN, FNP-BC Individual | Nurse Practitioner (Family) | 755 CAMPBELL AVE WEST HAVEN, CT 06516 (203) 931-2828 |
| 1114961083 | DR. WILLIAM E ROSNER M.D. Individual | Internal Medicine | 755 CAMPBELL AVE WEST HAVEN, CT 06516 (203) 931-2828 |
| 1134134018 | ILJA HULINSKY MD PHD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 755 CAMPBELL AVE WEST HAVEN, CT 06516 (203) 374-4490 |
| 1750681003 | MRS. ELIZABETH MARCUCIO APRN Individual | Nurse Practitioner (Pediatrics) | 755 CAMPBELL AVE SUITE 2 WEST HAVEN, CT 06516 (203) 889-2297 |
| 1942669916 | PEDIATRIC ADVANCED CARE OF WEST HAVEN LLC Organization | Nurse Practitioner (Pediatrics) | 755 CAMPBELL AVE SUITE 2 WEST HAVEN, CT 06516 (203) 889-2297 |
| 1144385261 | MS. DIANE E FAHEY APRN Individual | Nurse Practitioner (Pediatrics) | 755 CAMPBELL AVE SUITE 2 WEST HAVEN, CT 06516 (203) 889-2297 |
| 1023065216 | CONNECTICUT PHYSICAL THERAPY Organization | Clinic/Center (Physical Therapy) | 755 CAMPBELL AVE WEST HAVEN, CT 06516 (203) 931-9698 |
| 1982333845 | DAVID CESIDIO PISELLI Individual | Nurse Practitioner (Family) | 755 CAMPBELL AVE WEST HAVEN, CT 06516 (203) 937-1100 |
| 1336900331 | NICKESHA MARIE BROWN-FOKUO APRN Individual | Nurse Practitioner (Family) | 755 CAMPBELL AVE WEST HAVEN, CT 06516 (203) 937-1100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023263589, enumerated in the NPI registry as an "organization" on November 25, 2008
The provider is located at 755 Campbell Ave Suite 3 West Haven, Ct 06516 and the phone number is (203) 937-1100
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 07D1100207 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 25, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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