DAVID R CAMPBELL (M.D.) – Cardiovascular Disease Physician, NPI 1124065453

DAVID R CAMPBELL (M.D.) is a healthcare provider. based in Bannockburn, Illinois. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. 036072646 (IL). The NPI Number for DAVID R CAMPBELL (M.D.) is 1124065453

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DAVID R CAMPBELL (M.D.)
NPI
1124065453
Phone
(847) 444-5300
Address
2151 WAUKEGAN RD
Enumeration Date
2 June 2006
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
8475702000
Graduation Year
1984 (42 years ago)
PAC ID
1052211810
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20100814000024

Contacts

Secure Messaging
dcampbell7171@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DAVID R CAMPBELL (M.D.)

  • North Shore Medical Group Bannockburn Medical Office, 2151, Waukegan Road, Bannockburn, Lake County, Illinois, 60015, United States

    BANNOCKBURN, IL 600151885

    Phone: (847) 444-5300

    Fax: (847) 267-0649

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Medtronic, Inc. ($83).

Total Amount

$130

General + Research + Ownership

Payments

4

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100814000024ICardiovascular Disease (Cardiology)ILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60015)

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Provider's Procedures

DAVID R CAMPBELL (M.D.) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report225194

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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What federal number belongs to DAVID R CAMPBELL (M.D.)?
The federal identifier for DAVID R CAMPBELL (M.D.) is NPI 1124065453.
Is DAVID R CAMPBELL (M.D.)'s NPI currently valid?
The extract we use shows DAVID R CAMPBELL (M.D.) as active.
Does DAVID R CAMPBELL (M.D.) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for DAVID R CAMPBELL (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID R CAMPBELL (M.D.)?
The page summarizes Bannockburn, Illinois for DAVID R CAMPBELL (M.D.); expand the address list for detail.
Is DAVID R CAMPBELL (M.D.) a real provider?
This page reflects official NPPES data for NPI 1124065453. Always confirm identity and privileges with the practice and licensing boards.

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