NPIMap

Individual provider Active NPI

Charles Ujay Gbadouwey, MD

  • Pulmonary Disease Physician
  • Monroe, LA
National Provider Identifier
1043255177
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD.13300R Issued in LA
Practice address
309 Jackson St
Monroe, LA 71201-7407
Phone
(318) 966-4541
Fax
(318) 966-4543
NPI assigned
Jun 20, 2006
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M1695 TX
Pulmonary Disease Physician 207RP1001X MD062425L PA
Pulmonary Disease Physician 207RP1001X 29926 WV
Pulmonary Disease Physician 207RP1001X MD.13300R LA Primary

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201-7407

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-4541

Other practice location 1

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Other practice location 2

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 728-6900

Other practice location 3

3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Other identifiers 1

IdentifierTypeStateIssuer
101387928MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cgbadouwey1543918@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050927000268 PA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9537150347 Reassigns benefits to 5 organizations
I20141117000444 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9537150347 Reassigns benefits to 1 organization
I20210623000170 WV Practitioner - Internal Medicine 9537150347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Intensivist Associates LLCGroup PAC ID 3971746470, 15 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900

43 Eastgate Dr
Suite 300
Carlisle, PA 17015-6943
Phone (717) 701-8819

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD062425LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Mar 18, 2021 Accepting new patients
St. Luke's Physician Group Inc CurrentSince Jan 20, 2018 Accepting new patients
Jersey Intensivist Associates LLC Critical Care Medicine CurrentSince Sep 15, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Fayette Physician Network Inc CurrentSince Feb 18, 2017 Accepting new patients
Fayette Physician Network Inc CurrentSince Feb 18, 2017 Accepting new patients
Geisinger Clinic CurrentSince Nov 22, 2021 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Mar 18, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 20, 2018 Accepting new patients
Geisinger Clinic CurrentSince Nov 22, 2021 Accepting new patients
Lung Asthma and Sleep Associates PC Pulmonary Disease CurrentSince Jul 27, 2005 Accepting new patients
Steward Medical Group Inc. Pulmonary Disease CurrentSince Mar 1, 2020 Accepting new patients
Fayette Physician Network Inc Pulmonary Disease Current Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Intensivist Group of Pennsylvania, PC Critical Care Medicine Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients

Locations

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

3101 Emrick Blvd
Ste 112
Bethlehem, PA 18020
Phone (610) 419-6426

43 Eastgate Dr
Ste 300
Carlisle, PA 17015
Phone (223) 225-1120

100 N Academy Ave
Danville, PA 17822

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

233 College Ave
Ste 300
Lancaster, PA 17603
Phone (717) 291-8030

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1043255177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-4541",
            "fax_number": "225-769-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042235",
            "country_code": "US",
            "telephone_number": "361-881-3000",
            "fax_number": "361-881-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112434",
            "country_code": "US",
            "telephone_number": "215-728-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GBADOUWEY",
        "first_name": "CHARLES",
        "middle_name": "UJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M1695",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD062425L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "29926",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "MD.13300R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101387928",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgbadouwey1543918@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cgbadouwey1543918@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.