Individual provider Active NPI

Charles W Mason, M.D.

  • Internal Medicine Physician
  • Monroe, LA
National Provider Identifier
1124039193
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017714 Issued in LA
Practice address
920 Oliver Rd
Monroe, LA 71201-5702
Phone
(318) 807-4730
Fax
(318) 812-6450
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 017714 LA
Internal Medicine Physician 207R00000X 017714 LA Primary

Addresses

Primary practice location

920 Oliver Rd
Monroe, LA 71201-5702

Mailing address

130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Other identifiers 1

IdentifierTypeStateIssuer
1347744MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050606000845 LA Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Hospice/Palliative Care 7810930302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Louisiana Emergency Physicians, LLPGroup PAC ID 9638246846, 28 clinicians

Practice addresses (Care Compare)

401 E Vaughn Ave
Hospitalist Services
Ruston, LA 71270-5950
Phone (318) 254-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17714LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC CurrentSince Jun 6, 2016 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Nov 6, 2017 Accepting new patients
Northern Louisiana Emergency Physicians LLP Hospitalist CurrentSince Nov 6, 2017 Accepting new patients
Affinity Health Group, LLC CurrentSince Jun 6, 2016 Accepting new patients
CLHG-Ruston LLC Past Accepting new patients
Hospital Medicine Group Inc Internal Medicine Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

920 Oliver Rd
Monroe, LA 71201
Phone (318) 807-6267

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Interoperability endpoints

  • Direct secure messaging: nlmcmason@yourcarecommunity.org

Organizations & group practices 7

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1124039193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017319",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 OLIVER RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015702",
            "telephone_number": "318-807-4730",
            "fax_number": "318-812-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "017714",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1347744",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.