Individual provider Active NPI

Charles E Ahner, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1104835628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME86298 Issued in FL
Practice address
10333 N Military Trail
Suite a
Palm Beach Gardens, FL 33410
Phone
(561) 630-3696
Fax
(561) 630-1991
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 NE Dixie Hwy
Stuart, FL 34994-1839
Phone (772) 692-9200

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120823000039 FL Practitioner - Internal Medicine 5395991525 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86298FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles E Ahner M D P a Internal Medicine CurrentSince Nov 20, 2002 Accepting new patients

Locations

25 NE Dixie Hwy
Stuart, FL 34994
Phone (772) 692-9200

10333 N Military Trl
Ste A
West Palm Bch, FL 33410
Phone (561) 630-3696

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME86298 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

10333 N Military Trail
Suite a
Palm Beach Gardens, FL 33410

Mailing address

10333 N Military Trail
Suite a
Palm Beach Gardens, FL 33410
Phone (561) 630-3696

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104835628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 N MILITARY TRAIL",
            "address_2": "SUITE A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-630-3696",
            "fax_number": "561-630-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 N MILITARY TRAIL",
            "address_2": "SUITE A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-630-3696",
            "fax_number": "561-630-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHNER",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.