Charles William Mains, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23574 Issued in CO

Practice address

3455 Lutheran Pkwy
Suite 290
Wheat Ridge, CO 80033-6028

Phone

(303) 467-1400

Fax

(303) 467-1467

NPI assigned

Jun 28, 2006

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Merit-based Incentive Payment System (MIPS)

Final score

87.22 of 100Reported as group

Quality

80.56

Improvement activities

40

Cost

93.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Charles W. Mains, M.D., Inc

  dba Colorado Vascular Service

  • Vascular Surgery Physician
  • Wheat Ridge, CO
  • NPI 1619100880
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1336177526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY",
            "address_2": "SUITE 290",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-467-1400",
            "fax_number": "303-467-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY",
            "address_2": "SUITE 290",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-467-1400",
            "fax_number": "303-467-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINS",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "23574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS OF CO",
            "identifier": "MAB8428",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01235746",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Magsino
• Emily Mahar, RN
• Adam Jacang Maher
• Taylor Mahin
• Diana Elizabeth Maier, MPH
• Tabitha D Majekodunmi
• Gilexis Maldonado
• Sara Mallatt
• Jennifer De Toledo Mallek, M.D.
• Justin Mallen, MSW, LSW

• Surgery Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.

Verify at the official NPI Registry.