Eugene N Chardoul, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301023744 Issued in MI

Practice address

3499 S Linden Rd
Suite 2
Flint, MI 48507-3022

Phone

(810) 820-8121

Fax

(810) 820-8335

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Internal Medicine

Education

University of Michigan Medical School, 1959

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Home Health Home health agency, Davison, MI, CCN 237010
• McLaren Flint Hospital, Flint, MI, CCN 230141

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 and National Provider Directory roles.

• Comprehensive Medical Group PC

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1588945091
  Medicare reassignment NPD Authorized official
• Blueberry Healthcare PC

  • Family Medicine Physician
  • Flint, MI
  • NPI 1932980992
  Medicare reassignment
• Home Clinic PC

  • General Practice Physician
  • Southfield, MI
  • NPI 1962645689
  NPD (past)
• Internal Medicine Associates of Flint P.C.

  • Specialist
  • Flint, MI
  • NPI 1710980586
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• McLaren Health Management Group

  • Home Health Agency
  • Davison, MI
  • NPI 1023059144
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1154360378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44047",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440047",
            "telephone_number": "810-820-8121",
            "fax_number": "810-820-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S LINDEN RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073022",
            "telephone_number": "810-820-8121",
            "fax_number": "810-820-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARDOUL",
        "first_name": "EUGENE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301023744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158646",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0B50683",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC #",
            "identifier": "EC023744",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Renee Chapman, CNM
• Sinclaire T Chapman, NP
• Dante Eugene Chapple, C.P.R.M.-M
• Kelley Rae Charara
• Lena Charboneau
• Abigail Charles, MD
• Antanee Charles
• Allyssa Kay Charney, LMSW
• Amy Charron
• Charter Anesthesia Group PLC

• Internal Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.