Charles F Cheatham, M.D. – Family Medicine Physician

Key facts

NPI: 1174968853
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: DR.0031380 (CO)
Practice address: 2208 E Main St
Cortez, CO 81321-4222
Phone: (970) 565-6833
NPI assigned: May 8, 2013
Sex: Male
Sole proprietor: Yes

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.

Cherokee Health Systems Federally Qualified Health Center (FQHC) · Talbott, TN · NPI 1134128820

NPD FAMILY MEDICINE

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Park Point Healthcare LLC Community Based Hospice Care Agency · Cortez, CO · NPI 1508448424

CMS ownership CONTRACTED MANAGING EMPLOYEE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CO
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
Pasco/SW Hospice Cortez, CO · CCN 061628	Hospice	Contracted Managing Employee	Sep 5, 2023

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240509003590	CO	Order and Referring Only - Family Practice Practitioner - Family Practice	5092032821

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
DR.0031380	CO	MD	Family Medicine Physician
MD24777	TN	MD	Family Medicine Physician
24777	TN	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Cherokee Health Systems	Family Medicine	Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	MD24777	TN
Family Medicine Physician	207Q00000X	DR.0031380	CO	Yes

Addresses

Primary practice location

2208 E Main St
Cortez, CO 81321-4222

Mailing address

2208 E Main St
Cortez, CO 81321-4222
Phone (970) 565-6833

Other providers in Cortez, CO

Catholic Health Initiatives Colorado
Cedar Diagnostics, LLC
Center for Musculoskeletal & Disability Evaluations PC
Karen Ann Chanda, EARLY INTERVENTION
Robin Deanne Chavez, BA, CAC 111
Eric A Cheever
Chiropractic Health Alliance, PC
Kay Christian, PAC
Nancy Lou Christian, MA
Melissa Churchill, NP

All providers in Cortez, CO · Family Medicine Physician in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.