Active NPI
James D Charasika, M.D.
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1043299514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18988
- Practice address
- 4010 Dupont Cir
Suite 308
Louisville, KY 40207-4812 - Phone
- (502) 896-8041
- Fax
- (502) 896-8044
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18988 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir
Suite 308
Louisville, KY 40207-4812
Mailing address
4010 Dupont Cir
Suite 308
Louisville, KY 40207-4812
Phone (502) 896-8041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64189889 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1043299514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR",
"address_2": "SUITE 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074812",
"telephone_number": "502-896-8041",
"fax_number": "502-896-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR",
"address_2": "SUITE 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074812",
"telephone_number": "502-896-8041",
"fax_number": "502-896-8044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARASIKA",
"first_name": "JAMES",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "18988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64189889",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.