DR. KIRK A. CAMPANA M.D.
NPI 1205819950
General Practice in Boise, ID

Q: What is Kirk Campana's NPI number?

The NPI number for Kirk Campana is 1205819950. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Q: What is Kirk Campana's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Campana was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2005PECOS Enrolled

4750 N FIVE MILE RD, BOISE, ID 83713(208) 375-0500(208) 375-4310 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kirk A. Campana M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRK A. CAMPANA M.D. (NPI 1205819950) is an individual general practice provider in Boise, Idaho, licensed in Idaho (M-1176-1) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205819950

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KIRK A. CAMPANACredential: M.D.

Location Address4750 N FIVE MILE RDBoise, ID 83713-2715

Mailing Address4750 N Five Mile RdBoise, ID 83713-2715 · (208) 375-0500 · Fax (208) 375-4310

Phone(208) 375-0500

Fax(208) 375-4310

Sole ProprietorYes

Enumeration DateNovember 28, 2005

Last NPPES UpdateOctober 24, 2014

✔ NPI 1205819950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in ID · M-1176-1

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4750 N FIVE MILE RD, Boise, ID 83713

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kirk A. Campana M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE GERARDO PACHECO LICSW, MSW

Social Worker (Clinical)