NPIMap

Organization Active NPI

Charter Radiology LLC

  • Diagnostic Radiology Physician
  • Reisterstown, MD
National Provider Identifier
1629823844
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CHARTER RADIOLOGY LLC
Practice address
116 Westminster Pike Ste 104
Reisterstown, MD 21136-1056
Phone
(443) 917-2850
Fax
(410) 833-0021
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Arvinder Uppal, MDNPI 1073585261
Title
President
Phone
(443) 917-2855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

116 Westminster Pike Ste 104
Reisterstown, MD 21136-1056

Mailing address

10 Little Brook Rd
West Wareham, MA 02576-1222
Phone (507) 273-1250

Other names 1

  • Charter Radiology LLC - Reisterstown Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140131001490 MD Part B Supplier - Clinic/Group Practice 8426287087 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reisterstown, MD; Ellicott City, MD; Columbia, MD; Edgewater, MD; Clarksville, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Charter Radiology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1629823844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LITTLE BROOK RD",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025761222",
            "telephone_number": "507-273-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WESTMINSTER PIKE STE 104",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361056",
            "telephone_number": "443-917-2850",
            "fax_number": "410-833-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "ARVINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-917-2855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Radiology LLC - Reisterstown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.