Individual provider Active NPI

Charles W Yates, M.D.

  • Otology & Neurotology Physician
  • Indianapolis, IN
National Provider Identifier
1275709958
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
01067786A Issued in IN
Practice address
550 University Boulevard
Suite 3170
Indianapolis, IN 46202-5159
Phone
(317) 948-3226
Fax
(317) 944-2443
NPI assigned
May 2, 2008
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 35.092162 OH
Otology & Neurotology Physician 207YX0901X 01067786A IN Primary

Addresses

Primary practice location

550 University Boulevard
Suite 3170
Indianapolis, IN 46202-5159

Mailing address

705 Riley Hospital Dr
Suite 0860
Indianapolis, IN 46202-5109
Phone (317) 630-8970

Other identifiers 1

IdentifierTypeStateIssuer
200984050MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cyates3@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100819001139 IN Practitioner - Otolaryngology 7618001041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092162OHMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology Associates, Inc. CurrentSince Aug 16, 2010 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7631 Solutions Ctr
Chicago, IL 60677

11725 Illinois St
Ste 275
Carmel, IN 46032
Phone (317) 688-4864

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070

355 W 16th St
Ste 3000
Indianapolis, IN 46202
Phone (317) 948-3226

362 W 15th St
Ste 3200
Indianapolis, IN 46202
Phone (317) 963-7082

550 University Blvd
Ste 3170
Indianapolis, IN 46202
Phone (317) 944-7057

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

705 Riley Hospital Dr
Ste 860
Indianapolis, IN 46202
Phone (317) 944-8868

Interoperability endpoints

  • Direct secure messaging: cyates14913@direct.eskenazihealth.edu

Organizations & group practices 3

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 1

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1275709958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "SUITE 0860",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-630-8970",
            "fax_number": "317-630-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BOULEVARD",
            "address_2": "SUITE 3170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025159",
            "telephone_number": "317-948-3226",
            "fax_number": "317-944-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OH",
            "license": "35.092162",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "IN",
            "license": "01067786A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200984050",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cyates3@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "550 University Boulevard",
            "address_2": "Suite 3170",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.