NPIMap

Individual provider Active NPI

Charles Wainwright Zahalka, M.D.

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1215107347
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME109583 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 585-6970
NPI assigned
Mar 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13130 NV
Anesthesiology Physician 207L00000X 036117472 IL
Pediatric Anesthesiology Physician 207LP3000X 036117472 IL
Anesthesiology Physician 207L00000X ME109583 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (305) 585-6970

Other identifiers 2

IdentifierTypeStateIssuer
1215107347MedicaidNV
1770556037MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, IL, CO, HI, OR5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20091029000611 NV Practitioner - Anesthesiology 8628115243 Reassigns benefits to 3 organizations
I20130612000151 IL Practitioner - Anesthesiology 8628115243 Reassigns benefits to 2 organizations
I20180501002947 CO Practitioner - Anesthesiology 8628115243
I20190222001401 HI Practitioner - Anesthesiology 8628115243 Reassigns benefits to 1 organization
I20221114001855 OR Practitioner - Anesthesiology 8628115243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Howard University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Anesthesia IncGroup PAC ID 1951596329, 108 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-1000

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13130NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Anesthesia, Inc Anesthesiology CurrentSince Jan 15, 2019 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 7, 2023 Accepting new patients
Board of Trustees of the University of Illinois Anesthesiology CurrentSince Oct 1, 2014 Accepting new patients
Salem Health Family Medicine CurrentSince Aug 2, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 7, 2023 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 27, 2018 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 1, 2014 Accepting new patients
Salem Health CurrentSince Aug 2, 2022 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology Current Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Jan 3, 2022 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jan 19, 2013 Accepting new patients
Valley Children'S Medical Group Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

890 Oak St SE
Ste 4000
Salem, OR 97301
Phone (503) 814-4048

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Interoperability endpoints

  • Direct secure messaging: czahalka50337@direct.med.miami.edu
  • Direct secure messaging: czahalka14381@direct.umcsn.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1215107347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHALKA",
        "first_name": "CHARLES",
        "middle_name": "WAINWRIGHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "13130",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036117472",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "IL",
            "license": "036117472",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME109583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215107347",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770556037",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.