Individual provider Active NPI

Charles Thomas Molta, MD

  • Rheumatology Physician
  • Lewiston, ME
National Provider Identifier
1225253792
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35053258 Issued in OH
Practice address
685 Sabattus St
Lewiston, ME 04240-3831
Phone
(207) 784-1699
Fax
(207) 784-7554
NPI assigned
Apr 17, 2007
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD433419 PA
Rheumatology Physician 207RR0500X MD28543 ME
Rheumatology Physician 207RR0500X 35053258 OH Primary

Addresses

Primary practice location

685 Sabattus St
Lewiston, ME 04240-3831

Mailing address

685 Sabattus St
Lewiston, ME 04240-3831
Phone (207) 784-1699

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050310000021 OH Practitioner - RheumatologyPractitioner - Internal Medicine 9739133968 Reassigns benefits to 1 organization
I20150414002050 PA Practitioner - RheumatologyPractitioner - Internal Medicine 9739133968 Reassigns benefits to 1 organization
I20241019000102 ME Practitioner - RheumatologyPractitioner - Internal Medicine 9739133968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28543MEMDRheumatology Physician
35053258OHMDRheumatology Physician
MD433419PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Oct 14, 2024 Accepting new patients
The Metrohealth System Multi-Specialty CurrentSince Dec 16, 2025 Accepting new patients
Central Maine Medical Center Multi-Specialty CurrentSince Oct 14, 2024 Accepting new patients
Central Maine Clinical Associates Corporation Multi-Specialty Current Accepting new patients
Central Maine Medical Center Multi-Specialty Current Accepting new patients
Central Maine Clinical Associates CurrentSince Oct 14, 2024 Accepting new patients
Central Maine Clinical Associates CurrentSince Oct 14, 2024 Accepting new patients
The Metrohealth System CurrentSince Dec 16, 2025 Accepting new patients

Locations

29 Lowell St
Lewiston, ME 04240
Phone (207) 795-2154

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

685 Sabattus St
Lewiston, ME 04240
Phone (207) 295-0111

77 Bates St
Ste 101
Lewiston, ME 04240
Phone (207) 795-2929

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1225253792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403831",
            "telephone_number": "207-784-1699",
            "fax_number": "207-784-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403831",
            "telephone_number": "207-784-1699",
            "fax_number": "207-784-7554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLTA",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD433419",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ME",
            "license": "MD28543",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35053258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.