Sarah Elaine Charters, M.D.
Individual provider Active NPI Surgery Physician · Kalamazoo, MI
NPI 1497041479 · NPPES record last updated Nov 28, 2018
Key facts
- NPI
- 1497041479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4301098635 (MI)
- Practice address
- 1717 Shaffer St Ste 124
Kalamazoo, MI 49048-1629 - Phone
- (269) 226-6917
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group Promed
Practice addresses (Care Compare)
1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone (269) 226-5290
Hospital & facility affiliations
- Borgess Medical Center
- Oaklawn Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170731000635 | MI | Practitioner - General Surgery | 2769610922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098635 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Surgery | Current | Accepting new patients |
| Promed Healthcare | Current |
Accepting new patients | |
| Ascension Borgess Hospital | Past | Accepting new patients |
Locations
1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050
1717 Shaffer St
Ste 124
Kalamazoo, MI 49048
Phone (269) 226-5456
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301098635 | MI | |
| Surgery Physician | 208600000X | 4301098635 | MI | Yes |
Addresses
Primary practice location
1717 Shaffer St Ste 124
Kalamazoo, MI 49048-1629
Mailing address
1717 Shaffer St Ste 124
Kalamazoo, MI 49048-1629
Other providers in Kalamazoo, MI
- Matthew Perry Chappuies
- Megan E Charapata
- Trevor Charbonneau
- Tracy Charleston-Blakes
- Diana Charnley
- Madison Chase
- Taylor Marie Chastain
- Robert Joseph Chatel
- Bridgette Chatman
- Alessandra Chatson
All providers in Kalamazoo, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2018. 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.
- 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.