Julius Ray Charlie, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

40519 Issued in AZ

Practice address

6944 E Broadway Rd
Mesa, AZ 85208-1916

Phone

(480) 800-4890

Fax

(480) 427-4766

NPI assigned

Apr 27, 2006

Last updated

Nov 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Neurology

Education

University of New Mexico School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurology Associates of the East Valley PLCGroup PAC ID 1850607151, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julius.charlie.1@30730.direct.athenahealth.com

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.

• Neurology Associates of the East Valley, PLC

  • Neurology Physician
  • Chandler, AZ
  • NPI 1225404379
  Medicare reassignment Care Compare group NPD
• Phoenix Neurology and Sleep Medicine PLLC

  • Neurology Physician
  • Goodyear, AZ
  • NPI 1285687822
  Medicare reassignment NPD
• Lakeside Neurology LLC

  • Specialist
  • Lake Havasu City, AZ
  • NPI 1609055276
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1245876705
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)

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

• Cobre Valley Regional Medical Center

  dba Cobre Valley Regional Medical Center Kearny Ambulance

  • Ambulance
  • Kearny, AZ
  • NPI 1245824747

  Hospital

  Care Compare affiliation
• Cobre Valley Regional Medical Center

  • Community/Retail Pharmacy
  • Globe, AZ
  • NPI 1639384233

  Hospital

  Care Compare affiliation
• Cobre Valley Regional Medical Center

  • Critical Access Hospital
  • Globe, AZ
  • NPI 1871566521
  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1063479707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4980",
            "fax_number": "480-427-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081916",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 W FAIRVIEW ST",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "country_code": "US",
            "telephone_number": "480-800-4980",
            "fax_number": "480-427-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLIE",
        "first_name": "JULIUS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2006-0839",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "40519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "865090",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reshawna L Chapple, M.S.W.
• Charina Tecson MD PC
• Charis Wellness, LLC
• Karen D Charles, MSW;LCSW;C-ASWCM
• Tess C Charles, PA-C
• Megan Charlton, OTD, CHT
• Matthaya Charnvitayapong
• Amanda Chase, OTR-L
• Tara Lynne Chase, LAC, MS, NCC
• Michael Adam Chasin, M.D.

• Neurology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.
• 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.