NPIMap

Organization Active NPI

Charter Radiology, LLC

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1639506587
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CHARTER RADIOLOGY, LLC
Practice address
10700 Charter Dr
Suite 110
Columbia, MD 21044-3631
Phone
(443) 917-2855
Fax
(410) 346-5775
NPI assigned
Oct 7, 2013
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Arvinder Uppal, MDNPI 1073585261
Title
Ceo
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 NU Primary

Addresses

Primary practice location

10700 Charter Dr
Suite 110
Columbia, MD 21044-3631

Mailing address

10 Little Brook Rd
West Wareham, MA 02576-1222
Phone (800) 841-5200

Other identifiers 4

IdentifierTypeStateIssuer
617877900OtherMDACS DEPT OF LABOR
422109500MedicaidMD
4895107OtherMDAETNA- NON HMO PRODUCTS ONLY
AV43OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY, TX, HI, FL5 enrollments

Enrollment records 5

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
Practice locations: Reisterstown, MD; Ellicott City, MD; Columbia, MD; Edgewater, MD; Clarksville, MD
O20170427002124 NY Part B Supplier - Clinic/Group Practice 8426287087 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20210714000057 TX Part B Supplier - Clinic/Group Practice 8426287087 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20231212003971 HI Part B Supplier - Clinic/Group Practice 8426287087 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI; Kaneohe, HI
O20250603004478 FL Part B Supplier - Clinic/Group Practice 8426287087 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL; Tampa, FL

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2153793Charter Radiology, LLC10700 Charter Dr Suite 110, Columbia, MD 21044Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10700 Charter Dr
Ste 110
Columbia, MD 21044

116 Westminster Pike
Ste 104
Reisterstown, MD 21136
Phone (443) 917-2850

Practitioners & affiliated clinicians

Practitioners 10

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": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1639506587",
    "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": "800-841-5200",
            "fax_number": "508-273-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR",
            "address_2": "SUITE 110",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443631",
            "telephone_number": "443-917-2855",
            "fax_number": "410-346-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "ARVINDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-917-2855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS DEPT OF LABOR",
            "identifier": "617877900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422109500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA- NON HMO PRODUCTS ONLY",
            "identifier": "4895107",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "AV43",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.