Active NPI
Charles E Pappas, M.D.
- Plastic Surgery Physician
- Naples, FL
National Provider Identifier
1053569269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME 114489
- Practice address
- 7076 Verde Way
Naples, FL 34108-6514 - Phone
- (215) 327-5553
- Fax
- (267) 937-2487
- NPI assigned
- Aug 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME114489 | FL | |
| Plastic Surgery Physician | 208200000X | MD016058E | PA | |
| Plastic Surgery Physician | 208200000X | ME 114489 | FL | Primary |
Addresses
Primary practice location
7076 Verde Way
Naples, FL 34108-6514
Mailing address
7076 Verde Way
Naples, FL 34108-6514
Phone (215) 327-5553
Other practice location 1
1357 Gypsy Hill Road
Gwynedd Valley, PA 19437-0519
Phone (215) 643-0488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161216001960 | FL | Order and Referring Only - Plastic and Reconstructive Surgery | 1153609516 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 114489 | FL | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1053569269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7076 VERDE WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341086514",
"telephone_number": "215-327-5553",
"fax_number": "267-937-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7076 VERDE WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341086514",
"telephone_number": "215-327-5553",
"fax_number": "267-937-2487"
}
],
"practiceLocations": [
{
"address_1": "1357 Gypsy Hill Road",
"address_purpose": "LOCATION",
"city": "Gwynedd Valley",
"state": "PA",
"postal_code": "194370519",
"country_code": "US",
"telephone_number": "215-643-0488",
"fax_number": "267-937-2487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPPAS",
"first_name": "CHARLES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-29",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME114489",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD016058E",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME 114489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.