STEPHEN MICHAEL CAMPBELL (DO) – Anesthesiology Physician, NPI 1073743480

STEPHEN MICHAEL CAMPBELL (DO) is a healthcare provider. based in Park ridge, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 9407163 (KS). The NPI Number for STEPHEN MICHAEL CAMPBELL (DO) is 1073743480

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN MICHAEL CAMPBELL (DO)
NPI
1073743480
Phone
(847) 723-2210
Address
1775 Dempster St
Enumeration Date
20 July 2009
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
3198322328
Graduation Year
2009 (17 years ago)
PAC ID
1951533934
Group Practice PAC ID
4183535271
Professional Enrollment ID
I20250315000088
Address ID
IA524031251CE701XXPAVI803

Contacts

Secure Messaging
scampbell387133@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:16State licenses:4Other namesUpdated within 12 months

2,631 ANESTHESIOLOGY in IL

Provider Addresses for STEPHEN MICHAEL CAMPBELL (DO)

  • 1775 Dempster St

    Park Ridge, IL 600681143

    Phone: (847) 723-2210

    Fax: (847) 723-3532

    Type: Location

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-8078

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141002000844IAnesthesiologyCOTBD
I20231219002872IAnesthesiologyILTBD
I20250315000088IAnesthesiologyIATBD
I20250617001376IAnesthesiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183535271View full group profile
NameSpecialtyState
Clinical Social WorkerMO
General Surgery, Colorectal Surgery (Proctology)IL
Internal Medicine, Infectious DiseasePA
-IA
-IA
-IA
A N E S T H E S I O L O G YOH
-IA
Physician AssistantIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do I look up STEPHEN MICHAEL CAMPBELL (DO) by NPI?
Use NPI 1073743480 when you need to reference STEPHEN MICHAEL CAMPBELL (DO) in forms, claims, or directories.
Is STEPHEN MICHAEL CAMPBELL (DO)'s NPI currently valid?
The extract we use shows STEPHEN MICHAEL CAMPBELL (DO) as active.
What field does STEPHEN MICHAEL CAMPBELL (DO) work in?
You can think of STEPHEN MICHAEL CAMPBELL (DO) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHEN MICHAEL CAMPBELL (DO)?
The page summarizes Park Ridge, Illinois for STEPHEN MICHAEL CAMPBELL (DO); expand the address list for detail.
What if Park Ridge, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.