Individual provider Active NPI

Charles H Starke II, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1649468133
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
245774 Issued in NY
Practice address
170 Williams
Brooklyn, NY 11229-1705
Phone
(718) 692-5362
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 245774 NY Primary

Addresses

Primary practice location

170 Williams
Brooklyn, NY 11229-1705

Mailing address

3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360

Other identifiers 2

IdentifierTypeStateIssuer
P00642880OtherNYRAILROAD MEDICARE
02923013MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20071119000590 NY Practitioner - Anesthesiology 8820186232 Reassigns benefits to 4 organizations
I20120418000732 NJ Practitioner - Anesthesiology 8820186232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Midtown Anesthesia PLLCGroup PAC ID 2567804669, 15 clinicians

Practice addresses (Care Compare)

305 E 47TH St
New York, NY 10017-2303
Phone (718) 550-8600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jun 30, 2008 Accepting new patients
Northern Valley Anesthesiology, P.a. Anesthesiology CurrentSince Feb 1, 2016 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Oct 15, 2021 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
Lynbrook Anesthesia Services, PC Anesthesiology CurrentSince Jun 19, 2017 Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

200 Broadway
Ste 3149
Brooklyn, NY 11211

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Organizations & group practices 6

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1649468133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAMS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291705",
            "telephone_number": "718-692-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKE",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "245774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00642880",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02923013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.