Charles R. Routh, M.D.
Individual provider Active NPI Internal Medicine Physician · Muncie, IN
NPI 1437129798 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1437129798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01035252A (IN)
- Practice address
- 2701 W North St
Muncie, IN 47303-3415 - Phone
- (765) 448-8000
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Indiana University Health Ball Memorial Physicians Inc
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2701 W N St
Muncie, IN 47303-3415
Phone (765) 281-6920
Hospital & facility affiliations
- Elara Caring
- Centerwell Home Health
- Hoosier Homecare Services LLC
- Indiana University Health Ball Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Iu Health Ball Memorial Hospital |
Hospital | Corporate Director | May 30, 2012 |
| Iu Health Ball Memorial Hospital |
Hospital | Corporate Director | May 30, 2012 |
| Iu Health Jay |
Hospital | Corporate Director | Mar 18, 2021 |
| Iu Health Jay |
Hospital | Corporate Director | Mar 18, 2021 |
| Iu Health Blackford Physicians |
Rural health clinic | Corporate Director | Jul 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050505000874 | IN | Practitioner - Internal Medicine | 2062325665 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Internal Medicine | Current |
Accepting new patients |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Accounting Cardinal Health Ventures, Inc. | Past |
Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
#130
Indianapolis, IN 46219
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
3400 W Community Dr
Muncie, IN 47304
Phone (765) 282-5822
2901 W Jackson St
Muncie, IN 47304
Phone (765) 286-3900
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
2701 W North St
Muncie, IN 47303
Phone (765) 281-6920
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
215 S Hutchinson Ave
Muncie, IN 47303
Phone (765) 281-6920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01035252A | IN | Yes |
Addresses
Primary practice location
2701 W North St
Muncie, IN 47303-3415
Mailing address
1200 W White River Blvd
Muncie, IN 47303-4988
Phone (877) 668-5621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100106830 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crouth@direct.iuhealth.org | ||
| Direct Messaging Address | crouth@direct.iuhealth.org |
NPI Registry JSON
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1437129798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WHITE RIVER BLVD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034988",
"telephone_number": "877-668-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W NORTH ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033415",
"telephone_number": "765-448-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUTH",
"first_name": "CHARLES",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01035252A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100106830",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crouth@direct.iuhealth.org",
"affiliation": "N",
"address_1": "215 S Hutchinson Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473034774",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crouth@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2701 W North St",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muncie, IN
- Kaileigh Ross
- Kara Jane Ross
- Kayla Ross
- Tyler Ross
- Steve L Rousseau
- Matthew Routh
- Jeff R Rowe
- Roberta Eve Rowe
- Royale Family Dentistry
- Royale Internal Medicine, LLC
All providers in Muncie, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.