Individual provider Active NPI

Charles Joseph De Sieyes, M.D.

  • Family Medicine Physician
  • Falmouth, ME
National Provider Identifier
1083762181
Registry record updated May 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10240 Issued in ME
Practice address
202 US Route 1
Suite 200
Falmouth, ME 04105-1121
Phone
(207) 781-4488
Fax
(207) 781-4470
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10240 ME Primary

Addresses

Primary practice location

202 US Route 1
Suite 200
Falmouth, ME 04105-1121

Mailing address

35 Old Powerhouse Rd
Falmouth, ME 04105-1615
Phone (207) 749-1716

Other names 1

  • Dr. Charles Joseph De Sieyes M.D. P.a. LLC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20150113000304 ME Order and Referring Only - Family PracticePractitioner - Family Practice 0648594044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

LicenseStateTypeSpecialty
10240MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin'S Point Health Care, Inc. Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400976000000",
    "number": "1083762181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OLD POWERHOUSE RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051615",
            "telephone_number": "207-749-1716",
            "fax_number": "207-781-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 US ROUTE 1",
            "address_2": "SUITE 200",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051121",
            "telephone_number": "207-781-4488",
            "fax_number": "207-781-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SIEYES",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "10240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "DE SIEYES M.D. P.A. LLC",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.