Active NPI
Ronald A Charles, M.D.
- Internal Medicine Physician
- Toledo, OH
National Provider Identifier
1487689477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301056955
- Practice address
- 3130 Executive Pkwy
5TH Floor
Toledo, OH 43606-5529 - Phone
- (419) 537-2077
- NPI assigned
- Jul 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 203248 | MA | |
| Internal Medicine Physician | 207R00000X | 4301056955 | MI | Primary |
| Internal Medicine Physician | 207R00000X | C1-0008072 | DE |
Addresses
Primary practice location
3130 Executive Pkwy
5TH Floor
Toledo, OH 43606-5529
Mailing address
1098 Stafford PL
Detroit, MI 48207-3813
Phone (517) 897-3239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0008072 | DE | MD | Internal Medicine Physician |
| 203248 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1487689477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 STAFFORD PL",
"city": "DETROIT",
"state": "MI",
"postal_code": "482073813",
"telephone_number": "517-897-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 EXECUTIVE PKWY",
"address_2": "5TH FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436065529",
"telephone_number": "419-537-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "RONALD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "203248",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301056955",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0008072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.