NPIMap

Individual provider Active NPI

Charles J Anderson, MD

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1245282797
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0075601 Issued in FL
Practice address
11181 Health Park Blvd Ste 3030
Naples, FL 34110-5743
Phone
(239) 249-8996
Fax
(239) 431-5845
NPI assigned
May 16, 2006
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 ME0075601 FL Primary

Addresses

Primary practice location

11181 Health Park Blvd Ste 3030
Naples, FL 34110-5743

Mailing address

681 4TH Ave N Ste 201
Naples, FL 34102-5729
Phone (239) 920-5700

Other practice location 1

681 4th Ave N Ste 201
Naples, FL 34102-5729
Phone (239) 920-5700

Other identifiers 1

IdentifierTypeStateIssuer
ME0075601OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100828000177 FL Practitioner - Internal Medicine 8123103660 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

681 4TH Ave N
Suite 201
Naples, FL 34102-5729
Phone (312) 926-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075601FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Sep 11, 2017 Accepting new patients
Collier Hma Physician Management LLC Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Northwestern Medicine Florida Medical Group NFP Corporation CurrentSince Aug 13, 2024 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Sep 11, 2017 Accepting new patients
Alan a Goldblatt MD PA CurrentSince Oct 3, 2016 Accepting new patients
Collier Hma Physician Management LLC CurrentSince Oct 1, 2010 Accepting new patients
Anchor Health Centers PA Internal Medicine Past Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

2205 NW 40th Ter
#B
Gainesville, FL 32605
Phone (352) 375-1999

11181 Health Park Blvd
Ste 3030
Naples, FL 34110
Phone (239) 249-8996

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

681 4th Ave N
Ste 201
Naples, FL 34102
Phone (239) 920-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

606 NE 7th St
Trenton, FL 32693
Phone (352) 463-7101

Dept 5777
Carol Stream, IL 60122

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1245282797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 4TH AVE N STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025729",
            "telephone_number": "239-920-5700",
            "fax_number": "239-920-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD STE 3030",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105743",
            "telephone_number": "239-249-8996",
            "fax_number": "239-431-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 4th Ave N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025729",
            "country_code": "US",
            "telephone_number": "239-920-5700",
            "fax_number": "239-920-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0075601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME0075601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.