Individual provider Active NPI

Charles F. Fatseas, M.D.

  • Emergency Medicine Physician
  • Sherborn, MA
National Provider Identifier
1407874944
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
50232 Issued in MA
Practice address
51 Bogastow Brook Rd
Sherborn, MA 01770-1262
Phone
(508) 733-6611
Fax
(508) 653-2953
NPI assigned
Jul 17, 2006
Last updated
Jun 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 50232 MA Primary

Addresses

Primary practice location

51 Bogastow Brook Rd
Sherborn, MA 01770-1262

Mailing address

51 Bogastow Brook Rd
Sherborn, MA 01770-1262
Phone (508) 733-6611

Other identifiers 1

IdentifierTypeStateIssuer
3002314MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TN2 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
I20050325000329 MA Practitioner - Emergency MedicinePractitioner - Family Practice 7113973835 Reassigns benefits to 3 organizations
I20090806000172 TN Practitioner - Emergency Medicine 7113973835 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45266TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Newburyport Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 30, 2025 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Dec 1, 2022 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Dec 1, 2022 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Churchill Drive Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

70 East St
Methuen, MA 01844
Phone (978) 682-1906

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

705 E Poplar Ave
Selmer, TN 38375
Phone (731) 645-3221

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

Organizations & group practices 10

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 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1407874944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BOGASTOW BROOK RD",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701262",
            "telephone_number": "508-733-6611",
            "fax_number": "508-653-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BOGASTOW BROOK RD",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701262",
            "telephone_number": "508-733-6611",
            "fax_number": "508-653-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATSEAS",
        "first_name": "CHARLES",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "50232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherborn, MA

Sources for this page

Verify at the official NPI Registry.