Individual provider Active NPI

Charlemagne Marius

  • General Practice Physician
  • Naples, FL
National Provider Identifier
1639538176
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19257 Issued in PR
Practice address
3761 20TH Ave SE
Naples, FL 34117-9186
Phone
(305) 467-4816
NPI assigned
Feb 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19257 PR Primary

Addresses

Primary practice location

3761 20TH Ave SE
Naples, FL 34117-9186

Mailing address

3761 20TH Ave SE
Naples, FL 34117-9186
Phone (305) 467-4816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160722001634 PR Practitioner - General Practice 1557654985 Practice locations: Guayama, PR; Juana Diaz, PR; Juncos, PR; Maunabo, PR; Ponce, PR
I20201006002790 FL Practitioner - General Practice 1557654985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5262 Golden Gate Pkwy
Suite 2
Naples, FL 34116-7635
Phone (239) 529-2507

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True Health Medical and Wellness Center CurrentSince Sep 10, 2020 Accepting new patients

Locations

5262 Golden Gate Pkwy
Ste 2
Naples, FL 34116
Phone (239) 529-2507

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1639538176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 20TH AVE SE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341179186",
            "telephone_number": "305-467-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 20TH AVE SE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341179186",
            "telephone_number": "305-467-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIUS",
        "first_name": "CHARLEMAGNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.