NPIMap

Individual provider Active NPI

Deane S Charba, MD

  • Nephrology Physician
  • Corpus Christi, TX
National Provider Identifier
1245281492
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K6961 Issued in TX
Practice address
614 Furman Ave
Corpus Christi, TX 78404-2325
Phone
(361) 882-9278
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036114401 IL
Nephrology Physician 207RN0300X K6961 TX Primary

Addresses

Primary practice location

614 Furman Ave
Corpus Christi, TX 78404-2325

Mailing address

13409 George Rd
San Antonio, TX 78230-3064
Phone (210) 492-8922

Other practice location 1

1147 Cantwell Ln
Corpus Christi, TX 78407-1705
Phone (210) 492-8922

Other practice location 2

612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300

Other identifiers 3

IdentifierTypeStateIssuer
P00605021OtherILRAILROAD MEDICARE
1616108OtherILBCBS
33326800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090813000191 WI Practitioner - Nephrology 5496771057 Reassigns benefits to 1 organization
I20160629001174 TX Practitioner - NephrologyPractitioner - Internal Medicine 5496771057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Kidney Disease Physicians, PLLCGroup PAC ID 2860478815, 9 clinicians

Practice addresses (Care Compare)

614 Furman Ave
Corpus Christi, TX 78404-2325
Phone (361) 882-9278

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036114401ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Nephrology Network PLLC Nephrology CurrentSince Jul 1, 2016 Accepting new patients
Bay Area Kidney Disease Physicians, PLLC CurrentSince Nov 26, 2024 Accepting new patients
Health by Design Medical Group PastSince Nov 19, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Jul 1, 2016 Accepting new patients
Nephrology Associates of Northern Indiana, Inc Nephrology Past Accepting new patients

Locations

1521 S Staples St
Ste 603
Corpus Christi, TX 78404
Phone (361) 664-1723

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dcharba72783@direct.acumenmd.com

Organizations & group practices 6

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 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1245281492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13409 GEORGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303064",
            "telephone_number": "210-492-8922",
            "fax_number": "210-479-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 FURMAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042325",
            "telephone_number": "361-882-9278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1147 Cantwell Ln",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784071705",
            "country_code": "US",
            "telephone_number": "210-492-8922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Roxbury Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075089",
            "country_code": "US",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARBA",
        "first_name": "DEANE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036114401",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K6961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00605021",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1616108",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33326800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.