Active NPI
Charles Alan McCaslin, M.D.
- Pediatric Pulmonology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 25IA12925300
- Practice address
- 35 Michigan St NE
Suite 3003
Grand Rapids, MI 49503-2514 - Phone
- (616) 267-2200
- Fax
- (616) 267-2201
- NPI assigned
- May 22, 2007
- Last updated
- Feb 2, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11013228A | IN | |
| Internal Medicine Physician | 207R00000X | 4301102195 | MI | |
| Internal Medicine Physician | 207R00000X | 01064837A | IN | |
| Pediatrics Physician | 208000000X | 4301102195 | MI | |
| Pediatric Pulmonology Physician | 2080P0214X | 4301102195 | MI | |
| Pediatric Pulmonology Physician | 2080P0214X | 25IA12925300 | NJ | Primary |
Addresses
Primary practice location
35 Michigan St NE
Suite 3003
Grand Rapids, MI 49503-2514
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Louisville School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1771 Baptist Clay Dr
Fleming Island, FL 32003-8501
Phone (904) 516-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25IA12925300 | NJ | MD | Pediatric Pulmonology Physician |
| 11013228A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Emergency Physicians Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Emergency Physicians Inc | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
1771 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 516-1000
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
Interoperability endpoints
- cmccaslin77361@direct.nemours.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Emergency Resources Group
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
-
dba Emergency Resource Group
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Medical Oncology Physician
- New Brunswick, NJ
- NPI 1518904929
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1538378724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MICHIGAN ST NE",
"address_2": "SUITE 3003",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032514",
"telephone_number": "616-267-2200",
"fax_number": "616-267-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASLIN",
"first_name": "CHARLES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11013228A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301102195",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01064837A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301102195",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MI",
"license": "4301102195",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NJ",
"license": "25IA12925300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.