Active NPI
Charles Francis Lanzillo III, M.D.
- Emergency Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- Q6865
- Practice address
- 16088 San Pedro Ave
San Antonio, TX 78232 - Phone
- (310) 448-3972
- NPI assigned
- Apr 11, 2008
- Last updated
- Aug 1, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q6865 | TX | Primary |
Addresses
Primary practice location
16088 San Pedro Ave
San Antonio, TX 78232
Mailing address
1719 E 19TH Ave # 5C-East
Denver, CO 80218-1235
Phone (303) 839-6741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, SD, MT, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center
Practice addresses (Care Compare)
1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q6865 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center | Current | Accepting new patients | |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Phillips County Hospital Assn | Current | Accepting new patients | |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| Alvarado Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Victoria Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Lone Star Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Regents of the Unviersity of California | Emergency Medicine | Current | Accepting new patients |
| CMSC, LLC | Current | Accepting new patients | |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| St Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Emergency Medicine | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Home Care | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients |
Locations
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
File 54826
Los Angeles, CA 90074
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
3290 Solutions Ctr
Chicago, IL 60677
3369 Solutions Ctr
Chicago, IL 60677
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641
1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321
Organizations & group practices 21
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.
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1457709040
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1285811992
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
dba CHI St Alexius Health Devils Lake
- Critical Access Hospital
- Devils Lake, ND
- NPI 1659343093
-
dba CHI St Alexius Health Devils Lake
- Emergency Medicine Physician
- Devils Lake, ND
- NPI 1790751170
-
- Psychiatry Physician
- Williston, ND
- NPI 1801928593
-
dba Chi St Alexius Health Williston
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
-
dba Phillips County Family Health Clinic
- Rural Health Clinic/Center
- Malta, MT
- NPI 1205038379
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1780870899
-
dba Edith Sanford Breast Specialty Clinic
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1093090342
-
dba CHI St Alexius Health Dickinson Medical Clinic
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chi St Alexius Health Williston
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1417120312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 E 19TH AVE # 5C-EAST",
"city": "DENVER",
"state": "CO",
"postal_code": "802181235",
"telephone_number": "303-839-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16088 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "310-448-3972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZILLO",
"first_name": "CHARLES",
"middle_name": "FRANCIS",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q6865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.