Individual provider Active NPI

Charles E Pappas, M.D.

  • Plastic Surgery Physician
  • Naples, FL
National Provider Identifier
1053569269
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 114489 Issued in FL
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

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161216001960 FL Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 1153609516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 114489FLMDPlastic 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

Verify at the official NPI Registry.