Individual provider Active NPI

Charles L Schuster, D.C.

  • Chiropractor
  • Charleston, IL
National Provider Identifier
1063428977
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007721 Issued in IL
Practice address
25 W Lincoln Ave
Charleston, IL 61920-3016
Phone
(217) 345-9600
Fax
(217) 345-0345
NPI assigned
Jul 31, 2006
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007721 IL Primary

Addresses

Primary practice location

25 W Lincoln Ave
Charleston, IL 61920-3016

Mailing address

25 W Lincoln Ave
Charleston, IL 61920-3016
Phone (217) 345-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000602 IL Practitioner - Chiropractic 2961490248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Physician's Group, LTD.Group PAC ID 9335137611, 3 clinicians

Practice addresses (Care Compare)

25 W Lincoln Ave
Charleston, IL 61920-3070
Phone (217) 345-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Physicians Group LTD Chiropractor CurrentSince Nov 1, 1999 Accepting new patients

Locations

25 W Lincoln Ave
Charleston, IL 61920
Phone (217) 345-9600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1063428977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W LINCOLN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203016",
            "telephone_number": "217-345-9600",
            "fax_number": "217-345-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W LINCOLN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203016",
            "telephone_number": "217-345-9600",
            "fax_number": "217-345-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.