Individual provider Active NPI

Charles Stanley Hames, M.D.

  • Gastroenterology Physician
  • Walla Walla, WA
National Provider Identifier
1407823701
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD60308244 Issued in WA
Practice address
301 W Poplar St
Suite 210
Walla Walla, WA 99362-2858
Phone
(509) 522-5825
Fax
(509) 529-3512
NPI assigned
Mar 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD042780E PA
Gastroenterology Physician 207RG0100X MD60308244 WA Primary

Addresses

Primary practice location

301 W Poplar St
Suite 210
Walla Walla, WA 99362-2858

Mailing address

PO Box 32
Liberty Lake, WA 99019-0032
Phone (866) 747-2455

Other practice location 1

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Other practice location 2

1270 Lee Blvd
Richland, WA 99352-4231
Phone (509) 942-3180

Other identifiers 2

IdentifierTypeStateIssuer
2033501MedicaidWA
500666746MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chames306837@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20140228001537 WA Practitioner - Gastroenterology 1456535889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Maryland School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

380 Chase Ave
Walla Walla, WA 99362-2924
Phone (509) 897-3333

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD042780EPAMDGastroenterology Physician
MD60308244WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jun 22, 2019 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 1, 2014 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jun 22, 2019 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 1, 2014 Accepting new patients

Locations

1270 Lee Blvd
Richland, WA 99352
Phone (509) 942-3180

1270 Lee Blvd
Ste Ab
Richland, WA 99352

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1270 Lee Blvd
Ste A
Richland, WA 99352
Phone (509) 942-3180

1270 Lee Blvd
Ste B
Richland, WA 99352
Phone (509) 371-3588

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

301 W Poplar St
Ste 210
Walla Walla, WA 99362
Phone (509) 522-5825

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1407823701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190032",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST",
            "address_2": "SUITE 210",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622858",
            "telephone_number": "509-522-5825",
            "fax_number": "509-529-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524231",
            "country_code": "US",
            "telephone_number": "509-942-3180",
            "fax_number": "509-943-9722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMES",
        "first_name": "CHARLES",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD042780E",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60308244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033501",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500666746",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chames306837@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1270 Lee Blvd",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.