Individual provider Active NPI

Charles William Lester, M.D.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1609981117
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0037521 Issued in FL
Practice address
9380 SW 72ND St
Suite B-120
Miami, FL 33173-5454
Phone
(305) 274-3172
Fax
(305) 274-0841
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0037521 FL Primary

Addresses

Primary practice location

9380 SW 72ND St
Suite B-120
Miami, FL 33173-5454

Mailing address

1431 SW 82ND CT
Miami, FL 33144-5245
Phone (305) 383-2364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151105001808 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6709196645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University of Miami, LM Miller School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luis Hines and Associates, PAGroup PAC ID 1153311766, 4 clinicians

Practice addresses (Care Compare)

2828 Coral Way
Suite 460
Coral Gables, FL 33145-3242
Phone (305) 642-5255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0037521FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Hines & Associates, PA Psychiatry CurrentSince Feb 29, 2020 Accepting new patients
O Yes Medical Services Inc. Specialist PastSince Feb 29, 2020 Accepting new patients
Switchboard of Miami, Inc. PastSince Aug 1, 2015 Accepting new patients

Locations

2828 Coral Way
Ste 460
Miami, FL 33145
Phone (305) 642-5255

12550 Biscayne Blvd
Ste 306
North Miami, FL 33181
Phone (305) 895-0504

5401 S Kirkman Rd
Ste 310
Orlando, FL 32819
Phone (305) 895-0504

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1609981117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 SW 82ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331445245",
            "telephone_number": "305-383-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SW 72ND ST",
            "address_2": "SUITE B-120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735454",
            "telephone_number": "305-274-3172",
            "fax_number": "305-274-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0037521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.