Charles Maxwell Medert, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

U2087 Issued in TX

Practice address

2700 Bee Caves Rd
Austin, TX 78746-5642

Phone

(512) 250-2020

NPI assigned

Mar 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, TX2 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

Specialty

Ophthalmology

Education

Emory University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin Eye Clinic AssociationGroup PAC ID 6608910542, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmedert61561@direct.med.miami.edu
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: cmedert@austineye.imwdirect.com

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.

• Austin Eye Clinic Association

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1457540221
  Medicare reassignment Care Compare group NPD
• Illinois College of Optometry

  • Optometrist
  • Chicago, IL
  • NPI 1285612390
  Medicare reassignment NPD
• The University of Chicago Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033218128
  Medicare reassignment NPD
• Austin Eye Clinic Association

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1952398141
  NPD
• The University of Chicago Medical Center

  • Community/Retail Pharmacy
  • Calumet City, IL
  • NPI 1255895678
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1487195608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BEE CAVES RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465642",
            "telephone_number": "512-250-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BEE CAVES RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465642",
            "telephone_number": "512-250-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5758 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371426",
            "country_code": "US",
            "telephone_number": "773-702-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDERT",
        "first_name": "CHARLES",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.159124",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U2087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Southwest, PLLC
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• Rachel Laura Medbery, M.D.
• Medco Respiratory Instruments, Inc
• Medermis Laser Clinic
• Cydney McDonald Medford, MS CCC SLP
• Rex E. Medford, MD
• Medfusion Lab LLC
• Medfusion Supplies Inc
• Medgo Supplies LLC

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.

Verify at the official NPI Registry.