NPIMap

Individual provider Active NPI

Charles Leland Rogers, M.D.

  • Radiation Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1609915289
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
19904 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013
Phone
(602) 406-6761
Fax
(602) 406-5515
NPI assigned
Feb 6, 2007
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 176840-1205 UT
Radiation Oncology Physician 2085R0001X 19904 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013

Mailing address

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-6761

Other practice location 1

1050 E South Temple
Salt Lake City, UT 84102-1507
Phone (801) 350-8400

Other names 1

  • C. Leland Rogers Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627001241 UT Practitioner - Radiation Oncology 4981649266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Kentucky College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3336 S 4155
West Valley City, UT 84120

82 S 1100
Suite 103
Salt Lake City, UT 84102-1889
Phone (801) 505-5370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
176840-1205UTMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Cancer Specialists PC Radiation Oncology CurrentSince Jun 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Livi Medical Services LLC Family Medicine PastSince Aug 26, 2024 Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients

Locations

2132 N Robins Dr
Ste B101
Layton, UT 84041
Phone (801) 807-7777

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3592 W 9000 S
Ste 100
West Jordan, UT 84088
Phone (801) 601-2260

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1609915289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-6761",
            "fax_number": "602-406-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-406-6761",
            "fax_number": "602-406-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 E South Temple",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841021507",
            "country_code": "US",
            "telephone_number": "801-350-8400",
            "fax_number": "801-350-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHARLES",
        "middle_name": "LELAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "UT",
            "license": "176840-1205",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "19904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C. LELAND",
            "last_name": "ROGERS",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.