Individual provider Active NPI

Charles F Hobelmann III, M.D.

  • Emergency Medicine Physician
  • Owensboro, KY
National Provider Identifier
1114933686
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.151179 Issued in IL
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(270) 417-5911
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 52521 TN
Emergency Medicine Physician 207P00000X 38150 KY
Emergency Medicine Physician 207P00000X 036.151179 IL Primary

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

2840 Glencrest Dr
Owensboro, KY 42303-4575
Phone (410) 258-5611

Other identifiers 1

IdentifierTypeStateIssuer
64069115MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, IN, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20031215000122 KY Practitioner - Emergency Medicine 0345147864 Reassigns benefits to 2 organizations
I20150513001055 TN Practitioner - Emergency Medicine 0345147864 Reassigns benefits to 2 organizations
I20171110001254 IN Practitioner - Emergency Medicine 0345147864 Reassigns benefits to 1 organization
I20191219001822 IL Practitioner - Emergency Medicine 0345147864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care LLCGroup PAC ID 7315315546, 7 clinicians

Practice addresses (Care Compare)

1324 Carter Rd
Owensboro, KY 42301-2648
Phone (270) 713-4610

Hospital & facility affiliations

  • Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197
  • Wabash General Hospital 1 Hospital, Mount Carmel, IL, CCN 141327

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.151179ILMDEmergency Medicine Physician
38150KYMDEmergency Medicine Physician
52521TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care LLC Emergency Medicine CurrentSince Nov 4, 2022 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Jul 18, 2024 Accepting new patients
West Fairview Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Wabash General Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Wabash General Hospital District CurrentSince Jul 3, 2023 Accepting new patients
Wabash General Hospital District CurrentSince Jul 3, 2023 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince May 17, 2017 Accepting new patients
Wabash General Hospital District Current Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Physicians Group PSC Emergency Medicine Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1324 Carter Rd
Owensboro, KY 42301
Phone (270) 713-4610

2127 Century Farms Pkwy
Antioch, TN 37013
Phone (615) 332-6198

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: charleshob@acl-ky.direct.office.nextgen.com

Organizations & group practices 11

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 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1114933686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 GLENCREST DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034575",
            "telephone_number": "410-258-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBELMANN",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "52521",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38150",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.151179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64069115",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.