Individual provider Active NPI

Charles Frank Gould Jr., M.D.

  • Diagnostic Radiology Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1467435727
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD13035 Issued in HI
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859
Phone
(808) 772-1641
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD13035 HI Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859

Mailing address

775 N Kalaheo Ave
Kailua, HI 96734-1970
Phone (808) 772-1950

Other practice location 1

480 Central Ave
Naval Health Clinic Hawaii, BHC Kaneohe Bay
Pearl Harbor, HI 96860-4908
Phone (808) 257-5041 ext. 514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20060308000191 HI Practitioner - General Practice 0042227522 Reassigns benefits to 1 organization
I20190812002663 HI Practitioner - Diagnostic RadiologyPractitioner - General Practice 0042227522 Reassigns benefits to 9 organizations
I20191018002218 CA Practitioner - Diagnostic Radiology 0042227522 Reassigns benefits to 1 organization
I20240711003054 IL Practitioner - Diagnostic Radiology 0042227522 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirby Medical CenterGroup PAC ID 6901791144, 80 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540

101 S Major St
Eureka, IL 61530-1246
Phone (309) 304-2128

1523 Mokulua Dr
Kailua, HI 96734-3255
Phone (520) 370-1905

200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900

210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240

3024 E Empire St
Bloomington, IL 61704-5402

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

775 N Kalaheo Ave
Kailua, HI 96734-1970
Phone (217) 902-5291

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Apr 8, 2024 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Graham Hospital Association Current Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Apr 9, 2024 Accepting new patients
Graham Hospital Association CurrentSince Dec 9, 2024 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 8, 2024 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Apr 9, 2024 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2019 Accepting new patients
Graham Hospital Association CurrentSince Dec 9, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2019 Accepting new patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
Kirby Medical Center CurrentSince Dec 10, 2024 Accepting new patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Kirby Medical Center CurrentSince Dec 10, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince Apr 8, 2024 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Enloe Medical Center Past Accepting new patients
University Radiology Network Inc Diagnostic Radiology Past Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1839 N Government Way
Ste B
Coeur D Alene, ID 83814
Phone 20844919312

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: cgouldmd405383@carlehiedirect.net

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 5

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1467435727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 N KALAHEO AVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341970",
            "telephone_number": "808-772-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "96859",
            "telephone_number": "808-772-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Central Ave",
            "address_2": "Naval Health Clinic Hawaii, BHC Kaneohe Bay",
            "address_purpose": "LOCATION",
            "city": "Pearl Harbor",
            "state": "HI",
            "postal_code": "968604908",
            "country_code": "US",
            "telephone_number": "808-257-5041 x514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "CHARLES",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD13035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.