Individual provider Active NPI

Charles Oliveto III

  • Anesthesiology Physician
  • Searcy, AR
National Provider Identifier
1154883916
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-17458 Issued in AR
Practice address
3214 E Race Ave
Searcy, AR 72143-4810
Phone
(501) 268-6121
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E-17458 AR Primary

Addresses

Primary practice location

3214 E Race Ave
Searcy, AR 72143-4810

Mailing address

606 W Arch Ave
Searcy, AR 72143-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240117002245 AR Practitioner - Anesthesiology 3870827439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Management Assoc., P.a.Group PAC ID 1456240209, 13 clinicians

Practice addresses (Care Compare)

3214 E Race St
Searcy, AR 72143-4810
Phone (501) 268-6121

Hospital & facility affiliations

  • White County Medical Center Hospital, Searcy, AR, CCN 040014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-17458ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Pain Management Assoc., P.a. Anesthesiology CurrentSince Dec 19, 2023 Accepting new patients

Locations

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

Organizations & group practices 1

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1154883916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W ARCH AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-268-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVETO",
        "first_name": "CHARLES",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-17458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.