Individual provider Active NPI

Charles Alexander Wolff, M.D.

  • Family Medicine Physician
  • Foxboro, MA
National Provider Identifier
1508832767
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
153261 Issued in MA
Practice address
14 McKenzie LN
Foxboro, MA 02035-1151
Phone
(508) 946-9696
Fax
(844) 633-6168
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 153261 MA Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 153261 MA

Addresses

Primary practice location

14 McKenzie LN
Foxboro, MA 02035-1151

Mailing address

14 McKenzie LN
Foxboro, MA 02035-1151
Phone (508) 946-9696

Other identifiers 1

IdentifierTypeStateIssuer
522239464OtherTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000304 MA Practitioner - Geriatric MedicinePractitioner - Hospice/Palliative Care 7810076643 Practice locations: Foxboro, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153261MAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah B. Griffith Shaw Home for the Aged, Inc. Past Accepting new patients
Erickson Health Medical Group of Massachusetts PC Family Medicine Past Accepting new patients
Charles Wolff, MD, PC Family Medicine PastSince Jan 8, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672531200000",
    "number": "1508832767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MCKENZIE LN",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351151",
            "telephone_number": "508-946-9696",
            "fax_number": "844-633-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MCKENZIE LN",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351151",
            "telephone_number": "508-946-9696",
            "fax_number": "844-633-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "CHARLES",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "153261",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "153261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "522239464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.