Active NPI
Charles L Neustein, M.D.
- Surgery Physician
- Clearwater, FL
National Provider Identifier
1174567002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0025433
- Practice address
- 29277 US 19 N
Clearwater, FL 33761-2102 - Phone
- (727) 313-4764
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0025433 | FL | Primary |
Addresses
Primary practice location
29277 US 19 N
Clearwater, FL 33761-2102
Mailing address
7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone (713) 779-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049711800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0025433 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmann Gallinaro Deiorio and Neustein LLP | Surgery | Past | Accepting new patients |
| Sunshine Surgical Assist Inc | Past | Accepting new patients | |
| Brazos Sa Services | Past | Accepting new patients |
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.
-
- Specialist
- Clearwater, FL
- NPI 1568090975
-
- Specialist
- Houston, TX
- NPI 1033382668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1174567002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 SOUTHWEST FWY STE 1550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742053",
"telephone_number": "713-779-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29277 US 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612102",
"telephone_number": "727-313-4764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUSTEIN",
"first_name": "CHARLES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0025433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049711800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.