JACOB DALE CAMPBELL D.O.
NPI 1811301377
Surgery - Pediatric Surgery in Farmington, CT
NPI Status: Active since June 12, 2014
Contact Information
UCONN SCHOOL OF MEDICINE DEPT OF SURGERY
263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-2147
Fax: (860) 679-4624
- Individual
- Male
- Surgery
- Pediatric Surgery
- PECOS Enrolled
About JACOB CAMPBELL
This page provides the complete NPI Profile along with additional information for Jacob Campbell, a provider established in Farmington, Connecticut with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1811301377 assigned on June 2014. The practitioner's primary taxonomy code is 2086S0120X with license number 75461 (CT). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1811301377
- Provider Name
- JACOB DALE CAMPBELL D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- UCONN SCHOOL OF MEDICINE DEPT OF SURGERY 263 FARMINGTON AVE FARMINGTON, CT 06030
- Location Phone
- (860) 679-2147
- Location Fax
- (860) 679-4624
- Mailing Address
- UCONN SCHOOL OF MEDICINE DEPT OF SURGERY 263 FARMINGTON AVE FARMINGTON, CT 06030
- Mailing Phone
- (860) 679-2147
- Mailing Fax
- (860) 679-4624
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-12-2014
- Last Update Date
- 11-20-2023
- Code Navigator
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
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 75461
- License State
- CT
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Jacob Campbell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811301377, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811301377, enumerated as an "individual" on June 12, 2014.
The provider is located at UCONN SCHOOL OF MEDICINE DEPT OF SURGERY 263 FARMINGTON AVE FARMINGTON, CT 06030 and the phone number is (860) 679-2147.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
