Active NPI
Charles F Mahl, MD
- Interventional Pain Medicine Physician
- Coral Gables, FL
National Provider Identifier
1124340609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME38213
- Practice address
- 2333 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33134 - Phone
- (305) 332-7234
- Fax
- (305) 669-0241
- NPI assigned
- Feb 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME38213 | FL | Primary |
Addresses
Primary practice location
2333 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33134
Mailing address
2333 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33134
Phone (305) 984-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 1, 2017 through May 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME38213 | FL | MD | Interventional Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1124340609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 PONCE DE LEON BLVD",
"address_2": "SUITE 302",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-984-4740",
"fax_number": "305-669-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 PONCE DE LEON BLVD",
"address_2": "SUITE 302",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-332-7234",
"fax_number": "305-669-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHL",
"first_name": "CHARLES",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-24",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME38213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.