Individual provider Active NPI

Charles Diller Wendt, M.D.

  • Radiation Oncology Physician
  • Murfreesboro, TN
National Provider Identifier
1144274416
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
20374 Issued in TN
Practice address
1840 Medical Center Pkwy
Suite 102
Murfreesboro, TN 37129-3199
Phone
(615) 396-5530
Fax
(615) 382-8056
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 20374 TN Primary

Addresses

Primary practice location

1840 Medical Center Pkwy
Suite 102
Murfreesboro, TN 37129-3199

Mailing address

PO Box 440261
Nashville, TN 37244-0261
Phone (615) 329-0570

Other identifiers 1

IdentifierTypeStateIssuer
3051713MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040629001163 TN Practitioner - Radiation Oncology 9537145537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2011 Church St
Medical Plaza 1 Lower Level
Nashville, TN 37236-0001
Phone (615) 284-7785

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20374TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Aug 1, 2009 Accepting new patients
Tennessee Oncology,PLLC Radiation Oncology CurrentSince Aug 1, 2009 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients

Locations

1840 Medical Center Pkwy
Ste 102
Murfreesboro, TN 37129
Phone (615) 396-5530

2114 N Jackson St
Tullahoma, TN 37388
Phone (931) 454-9002

Organizations & group practices 3

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 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1144274416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440261",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440261",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY",
            "address_2": "SUITE 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293199",
            "telephone_number": "615-396-5530",
            "fax_number": "615-382-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "CHARLES",
        "middle_name": "DILLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "20374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051713",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.