Active NPI
Charles S Hesdorffer, MD
- Hematology & Oncology Physician
- Bethesda, MD
National Provider Identifier
1356302095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD040886
- Practice address
- 10 Center Dr RM 4-5140
Bethesda, MD 20892-0004 - Phone
- (310) 402-2339
- Fax
- (310) 594-1290
- NPI assigned
- Mar 31, 2006
- Last updated
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 169687 | NY | |
| Hematology & Oncology Physician | 207RH0003X | MD040886 | DC | Primary |
Addresses
Primary practice location
10 Center Dr RM 4-5140
Bethesda, MD 20892-0004
Mailing address
1176 River Bay Rd
Annapolis, MD 21409-4832
Phone (917) 991-7772
Other practice location 1
1176 River Bay Rd
Annapolis, MD 21409-4832
Phone (917) 991-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040886 | DC | MD | Hematology & Oncology Physician |
| 169687 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Cancer Care Associates LLC | Hematology & Oncology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Hematology & Oncology Physician
- Belleville, NJ
- NPI 1447315502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1356302095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 RIVER BAY RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214094832",
"telephone_number": "917-991-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR RM 4-5140",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920004",
"telephone_number": "310-402-2339",
"fax_number": "310-594-1290"
}
],
"practiceLocations": [
{
"address_1": "1176 River Bay Rd",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214094832",
"country_code": "US",
"telephone_number": "917-991-7772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HESDORFFER",
"first_name": "CHARLES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "169687",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "DC",
"license": "MD040886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.