Active NPI
Charles Walter Mitchell, M.D.
- Family Medicine Physician
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F8247
- Practice address
- 3816 S Clear Creek Rd
Suite E
Killeen, TX 76549-4400 - Phone
- (254) 554-8773
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F8247 | TX | Primary |
Addresses
Primary practice location
3816 S Clear Creek Rd
Suite E
Killeen, TX 76549-4400
Mailing address
PO Box 10308
Killeen, TX 76547-0308
Phone (254) 526-5970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026KV | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17510 W Grand Pkwy S
Sugar Land, TX 77479-2649
3816 Clear Creek Rd
Suite E
Killeen, TX 76549-4401
3816 S Clear Creek Rd
Suite E
Killeen, TX 76549-4401
Phone (254) 554-8773
7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500
Hospital & facility affiliations
- Texmed Home Health Inc
- Elara Caring
- Accentcare Home Health of Temple
- Centerwell Home Health
- Adaptive Home Health
- Adventhealth Central Texas
- Baylor Scott & White Medical Center - Temple
- Seton Medical Center Harker Heights
- Adventhealth Rollins Brook
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F8247 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients | |
| Stillhouse Emergency Physicians | Family Medicine | Current | Accepting new patients |
| Ctems Inc | Family Medicine | Past | Accepting new patients |
| Michael S. Figueroa, M.D., P.a. | Past | Accepting new patients |
Locations
646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001
7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027
3816 Clear Creek Rd
Ste E
Killeen, TX 76549
Phone (254) 554-8773
3816 Clear Creek Rd
Killeen, TX 76549
Phone (254) 526-8446
10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500
17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
-
- Family Medicine Physician
- Killeen, TX
- NPI 1619060712
-
- Family Medicine Physician
- Killeen, TX
- NPI 1205108032
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
-
- Pulmonary Disease Physician
- Helotes, TX
- NPI 1710169701
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harker Heights, TX
- NPI 1841562709
-
- Home Health Agency
- Temple, TX
- NPI 1346247442
-
- General Acute Care Hospital
- Killeen, TX
- NPI 1629089966
-
- Critical Access Hospital
- Lampasas, TX
- NPI 1750392916
-
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
-
- Home Health Agency
- Temple, TX
- NPI 1427206549
-
- Home Health Agency
- Temple, TX
- NPI 1184154536
-
- Home Health Agency
- Round Rock, TX
- NPI 1174569628
-
- In Home Supportive Care Agency
- Killeen, TX
- NPI 1962447417
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285730705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10308",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765470308",
"telephone_number": "254-526-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 S CLEAR CREEK RD",
"address_2": "SUITE E",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494400",
"telephone_number": "254-554-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CHARLES",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F8247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0026KV",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.