Individual provider Active NPI

Pierre Maxime Jean Charles, M.D.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1093949869
Registry record updated Jul 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254429 Issued in NY
Practice address
293 Upper Falls Blvd
Rochester, NY 14605-2184
Phone
(585) 922-0200
Fax
(585) 922-0230
NPI assigned
May 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2013

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 254429 NY Primary

Addresses

Primary practice location

293 Upper Falls Blvd
Rochester, NY 14605-2184

Mailing address

293 Upper Falls Blvd
Rochester, NY 14605-2184
Phone (585) 922-0200

Other identifiers 1

IdentifierTypeStateIssuer
03134452MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090914000525 NY Practitioner - Family Practice 1254487416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

293 Upper Falls Blvd
Rochester, NY 14605-2184
Phone (585) 922-0200

55 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3506

65 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3531

75 Genesee St
FL 2
Rochester, NY 14611-3201
Phone (585) 368-3380

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 723-7000

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Rochester) Home health agency, Rochester, NY, CCN 337257
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince May 1, 2018 Accepting new patients
Rochester General Hospital CurrentSince Aug 31, 2009 Accepting new patients
The Unity Hospital of Rochester CurrentSince May 1, 2018 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

293 Upper Falls Blvd
Rochester, NY 14605
Phone (585) 922-0200

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: pjeancharles33138@direct.rochesterregional.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374364800000",
    "number": "1093949869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 UPPER FALLS BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052184",
            "telephone_number": "585-922-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 UPPER FALLS BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052184",
            "telephone_number": "585-922-0200",
            "fax_number": "585-922-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN CHARLES",
        "first_name": "PIERRE",
        "middle_name": "MAXIME",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2013-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03134452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.