Individual provider Active NPI

Hillary H. Charles, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1083795397
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29490 Issued in AZ
Practice address
5757 W. Thunderbird Road
Suite W-202
Glendale, AZ 85306-4641
Phone
(602) 678-1111
Fax
(602) 678-7090
NPI assigned
Oct 17, 2006
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29490 AZ Primary

Addresses

Primary practice location

5757 W. Thunderbird Road
Suite W-202
Glendale, AZ 85306-4641

Mailing address

5757 W. Thunderbird Road
Suite W-202
Glendale, AZ 85306-4641
Phone (602) 678-1111

Other identifiers 1

IdentifierTypeStateIssuer
696156MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050513000503 AZ Practitioner - Obstetrics/Gynecology 9234170879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 255
Phoenix, AZ 85028-6025
Phone (602) 494-5050

5757 W Thunderbird Rd
Suite W202
Glendale, AZ 85306-5612
Phone (602) 678-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29490AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thunderbird Obstetrics & Gynecology, LTD. Obstetrics & Gynecology CurrentSince Oct 1, 2005 Accepting new patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Nov 25, 2024 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Camelback Womens Health, PC Obstetrics & Gynecology PastSince Sep 15, 2000 Accepting new patients

Locations

5757 W Thunderbird Rd
Ste W202
Glendale, AZ 85306
Phone (602) 298-1932

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

11209 N Tatum Blvd
Ste 255
Phoenix, AZ 85028
Phone (602) 494-5050

50 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 587-7754

Interoperability endpoints

  • Direct secure messaging: hillary.charles.1@19050.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1083795397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W. THUNDERBIRD ROAD",
            "address_2": "SUITE W-202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641",
            "telephone_number": "602-678-1111",
            "fax_number": "602-678-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W. THUNDERBIRD ROAD",
            "address_2": "SUITE W-202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641",
            "telephone_number": "602-678-1111",
            "fax_number": "602-678-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "HILLARY",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "29490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "696156",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.