Individual provider Active NPI

Charles Francis Wennogle Jr., MD

  • Diagnostic Radiology Physician
  • Ocoee, FL
National Provider Identifier
1396835054
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N5478 Issued in TX
Practice address
9582 W Colonial Dr
Ocoee, FL 34761-6992
Phone
(719) 593-1799
Fax
(719) 265-3794
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40037 CO
Diagnostic Radiology Physician 2085R0202X N5478 TX Primary

Addresses

Primary practice location

9582 W Colonial Dr
Ocoee, FL 34761-6992

Mailing address

6189 Massive Peak Cir
Castle Rock, CO 80108-9485
Phone (720) 219-7536

Other practice location 1

6189 Massive Peak Cir
Castle Rock, CO 80108-9485
Phone (720) 219-7536

Other practice location 2

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL, TX, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040501000362 CO Practitioner - Diagnostic Radiology 1557359338 Reassigns benefits to 10 organizations
Practice locations: Castle Rock, CO
I20101028000256 FL Practitioner - Diagnostic Radiology 1557359338 Reassigns benefits to 9 organizations
I20131014000614 TX Practitioner - Diagnostic Radiology 1557359338 Reassigns benefits to 1 organization
I20240409004345 KY Practitioner - Diagnostic Radiology 1557359338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Howard John Simon MD PCGroup PAC ID 1658602263, 36 clinicians

Practice addresses (Care Compare)

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

11960 Lioness Way
140 Simonmed Imaging Parker
Parker, CO 80134-5643
Phone (303) 643-0200

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730

1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226

1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

225 W State Rd 434
104 Simonmed Imaging Longwood
Longwood, FL 32750-4980
Phone (407) 304-1000

2954 Mallory Cir
Suite 104
Celebration, FL 34747-1822
Phone (321) 559-8362

3801 NE 15TH Ave
Oakland Park, FL 33334-4618
Phone (512) 795-5100

4700 B Chamberlain LN
Louisville, KY 40241-1106
Phone (502) 901-2010

4800 Park Blvd N
Simonmed Imaging Park Blvd
Pinellas Park, FL 33781-3534
Phone (727) 525-2121

5831 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5089
Phone (941) 954-1900

613 Oakfield Dr
Brandon, FL 33511-5714
Phone (813) 703-8027

6138 Kennerly Rd
Suite 100
Jacksonville, FL 32216-4393
Phone (904) 638-0217

6250 Lake Osprey Dr
Suite 100
Lakewood Ranch, FL 34240-8423
Phone (941) 957-9340

730 Goodlette Rd
Suite 101
Naples, FL 34102-5617
Phone (239) 307-0234

745 Orienta Ave
Suite 1161
Altamonte Springs, FL 32701-6609
Phone (321) 207-4474

7678 Kryptonite LN
Castle Rock, CO 80108-3112
Phone (480) 306-6949

775 N Alafaya TRL
Simonmed Imaging Waterford Lakes
Orlando, FL 32828-7047
Phone (321) 235-8700

7806 Lake Underhill Rd
Suite 101
Orlando, FL 32822-8232
Phone (407) 608-6800

911 E Oak St
Simonmed Imaging Heritage Square
Kissimmee, FL 34744-5836
Phone (407) 847-3070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5478TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Jan 4, 2021 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince May 24, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Mar 20, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jul 16, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Mar 1, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jan 20, 2026 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Jan 4, 2021 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Feb 26, 2026 Accepting new patients
Austin Radiological Association CurrentSince Dec 31, 2025 Accepting new patients
Utah Medical Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 18, 2026 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 23, 2017 Accepting new patients
Envision Imaging of Acadiana LLC Diagnostic Radiology CurrentSince May 21, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 2, 2026 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jan 20, 2026 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Feb 18, 2026 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Mar 1, 2026 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Utah Medical Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 18, 2026 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Feb 18, 2026 Accepting new patients
Southwest Medical Associates, Inc Diagnostic Radiology CurrentSince Dec 18, 2023 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients
Elite Imaging LLC Diagnostic Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 67)

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

2500 S 8th Ave
Ste 103
Yuma, AZ 85364
Phone (866) 614-8555

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 307-1941

345 Convention Way
Ste 1-D
Redwood City, CA 94063
Phone (650) 299-9906

10111 Hole Ave
Riverside, CA 92503
Phone (650) 299-9906

225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000

635 Camino de los Mares
Ste 101
San Clemente, CA 92673
Phone (949) 506-5316

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907

1825 Civic Center Dr
Ste 1
Santa Clara, CA 95050
Phone (408) 296-5555

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1396835054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6189 MASSIVE PEAK CIR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801089485",
            "telephone_number": "720-219-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616992",
            "telephone_number": "719-593-1799",
            "fax_number": "719-265-3794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6189 Massive Peak Cir",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801089485",
            "country_code": "US",
            "telephone_number": "720-219-7536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12554 Riata Vista Cir",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787276431",
            "country_code": "US",
            "telephone_number": "512-795-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENNOGLE",
        "first_name": "CHARLES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "40037",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N5478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.