Active NPI
Gregory Alan Charlton, M.D.
- Neurology Physician
- Las Cruces, NM
National Provider Identifier
1386675270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2001-154
- Practice address
- 1240 S Telshor Blvd
Suite B
Las Cruces, NM 88011-4731 - Phone
- (575) 522-3885
- Fax
- (575) 522-3895
- NPI assigned
- Jul 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 2001-154 | NM | |
| Neurology Physician | 2084N0400X | 2001-154 | NM | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | 2001-154 | NM |
Addresses
Primary practice location
1240 S Telshor Blvd
Suite B
Las Cruces, NM 88011-4731
Mailing address
1240 S Telshor Blvd
Suite B
Las Cruces, NM 88011-4731
Phone (575) 522-3885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68700041 | Medicaid | NM | |
| 742785 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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
- Neurology
- Education
- University of Wisconsin School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2437 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 522-2777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current | Accepting new patients | |
| Sleep Lab of Las Cruces LLC | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Gonzalo a Diaz | Past | Accepting new patients |
Locations
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
2437 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-2777
Organizations & group practices 4
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Las Cruces, NM
- NPI 1528460029
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
- Sleep Medicine (Internal Medicine) Physician
- El Paso, TX
- NPI 1326261249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312070400000",
"number": "1386675270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 S TELSHOR BLVD",
"address_2": "SUITE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114731",
"telephone_number": "575-522-3885",
"fax_number": "575-522-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 S TELSHOR BLVD",
"address_2": "SUITE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114731",
"telephone_number": "575-522-3885",
"fax_number": "575-522-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLTON",
"first_name": "GREGORY",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2011-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NM",
"license": "2001-154",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "2001-154",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NM",
"license": "2001-154",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68700041",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "742785",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.