Individual provider Active NPI

Charles P Lattuada Jr., MD

  • Medical Oncology Physician
  • Anniston, AL
National Provider Identifier
1407858244
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
18922 Issued in AL
Practice address
901 Leighton Ave
Suite 602
Anniston, AL 36207-5700
Phone
(256) 238-1011
Fax
(256) 238-4366
NPI assigned
Aug 11, 2005
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 18922 AL
Medical Oncology Physician 207RX0202X 18922 AL Primary

Addresses

Primary practice location

901 Leighton Ave
Suite 602
Anniston, AL 36207-5700

Mailing address

901 Leighton Ave
Suite 602
Anniston, AL 36207-5700
Phone (256) 238-1011

Other identifiers 1

IdentifierTypeStateIssuer
158742MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080310000068 WI Practitioner - Internal MedicinePractitioner - Medical Oncology 6507895299
I20090226000592 AL Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Infectious Disease 6507895299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Infectious Disease
Education
Uniformed Services Uhs Fe Hebert School of Med, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Cancer Care, LLCGroup PAC ID 1456477645, 20 clinicians

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-3830

402 S 1St St
Gadsden, AL 35901-5358
Phone (256) 547-0536

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18922ALMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority CurrentSince Jan 16, 2025 Accepting new patients
The East Alabama Health Care Authority CurrentSince Jan 16, 2025 Accepting new patients
Tombigbee Healthcare Authority CurrentSince Jun 1, 2022 Accepting new patients
Alabama Cancer Care, LLC CurrentSince Jan 1, 2025 Accepting new patients
Tombigbee Healthcare Authority CurrentSince Jun 1, 2022 Accepting new patients
Oncology Specialties, P.C. CurrentSince Dec 1, 2019 Accepting new patients
Oncology Associates of Monroe Past Accepting new patients

Locations

901 Leighton Ave
Ste 602
Anniston, AL 36207
Phone (256) 238-1011

1107 14th Ave SE
Ste 200
Decatur, AL 35601
Phone (256) 301-1601

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150

3601 Cci Dr NW
Huntsville, AL 35805
Phone (256) 539-3824

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1407858244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "SUITE 602",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075700",
            "telephone_number": "256-238-1011",
            "fax_number": "256-238-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "SUITE 602",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075700",
            "telephone_number": "256-238-1011",
            "fax_number": "256-238-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTUADA",
        "first_name": "CHARLES",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "18922",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AL",
            "license": "18922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158742",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.