Charalampos Mystakelis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D98137 Issued in MD

Practice address

4200 Wisconsin Ave NW Ste 4
Washington, DC 20016-2143

Phone

(202) 243-3400

Fax

(202) 243-3234

NPI assigned

Mar 29, 2020

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MGMC, LLC

  • General Practice Physician
  • Washington, DC
  • NPI 1891797148

  MD

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• MGMC LLC

  • Psychiatry Physician
  • Washington, DC
  • NPI 1316949654
  NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • White Plains, MD
  • NPI 1407559081
  NPD

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1144858879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW STE 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-243-3400",
            "fax_number": "202-243-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW STE 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-243-3400",
            "fax_number": "202-243-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSTAKELIS",
        "first_name": "CHARALAMPOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2024-01-31",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D98137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swetha Madhuri Mynedi
• Linda Myrick
• James Edward Myricks, LICSW
• Erica Myrtle-Holmes, LGSW
• John Myseros, MD
• Mytherapist DC LLC
• MZ Therapeutic Consultants, Inc.
• Mryange M Mzese
• N Dayes Consulting Firm
• N Edward Gwozdz MD PC

• Pediatrics Physician in Washington, DC
• Providers in Washington, DC by specialty
• Pediatrics Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.