Individual provider Active NPI

Charles K. Zachar, M. D.

  • Diagnostic Radiology Physician
  • Inverness, FL
National Provider Identifier
1124009949
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME53131 Issued in FL
Practice address
2105 Highway 44 W
Inverness, FL 34453-3805
Phone
(352) 637-6100
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME53131 FL Primary

Addresses

Primary practice location

2105 Highway 44 W
Inverness, FL 34453-3805

Mailing address

2105 Highway 44 W
Inverness, FL 34453-3805
Phone (352) 637-6100

Other identifiers 1

IdentifierTypeStateIssuer
062891300MedicaidFL

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000969 FL Practitioner - Diagnostic Radiology 0648172528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians

Practice addresses (Care Compare)

2105 Hwy 44 W
Inverness, FL 34453-3805
Phone (352) 419-4818

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME53131FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging & Therapeutics LLC Diagnostic Radiology CurrentSince May 1, 2013 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology Current Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2006 Accepting new patients
Citrus Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Nature Coast Anesthesia Providers, P.a. PastSince Jun 1, 2021 Accepting new patients

Locations

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

13837 NE 86th Ter
Lady Lake, FL 32159
Phone (352) 261-5502

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1124009949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533805",
            "telephone_number": "352-637-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533805",
            "telephone_number": "352-637-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHAR",
        "first_name": "CHARLES",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME53131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062891300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.