Individual provider Active NPI

Charles J Wilmanski, M.D.

  • Internal Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1174610745
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CW405106 Issued in MI
Practice address
2845 Capital Ave SW
Suite 302
Battle Creek, MI 49015-4185
Phone
(269) 979-6333
Fax
(269) 979-6335
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CW405106 MI Primary

Addresses

Primary practice location

2845 Capital Ave SW
Suite 302
Battle Creek, MI 49015-4185

Mailing address

2845 Capital Ave SW
Suite 302
Battle Creek, MI 49015-4185
Phone (269) 979-6333

Other identifiers 2

IdentifierTypeStateIssuer
1813876MedicaidMI
1101300231OtherMIBLUE CROSS BLUE SHIELD MI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101101001494 MI Practitioner - Internal Medicine 5597770073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

2845 Capital Ave SW
302 Bronson Internal Medicine Battle Creek
Battle Creek, MI 49015-4187
Phone (269) 979-6333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CW405106MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Internal Medicine Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 1, 2015 Accepting new patients

Locations

632 North Ave
Battle Creek, MI 49017
Phone (269) 969-6145

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: cwilmanski44936@direct.bronsonhg.org

Organizations & group practices 2

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 4

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174610745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW",
            "address_2": "SUITE 302",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154185",
            "telephone_number": "269-979-6333",
            "fax_number": "269-979-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW",
            "address_2": "SUITE 302",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154185",
            "telephone_number": "269-979-6333",
            "fax_number": "269-979-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMANSKI",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CW405106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1813876",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "1101300231",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.