Individual provider Active NPI

Charles L Laham, MD

  • Cardiovascular Disease Physician
  • Beloit, WI
National Provider Identifier
1669493359
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45033-20 Issued in WI
Practice address
Beloit Memorial Hospital
1969 West Hart Rd
Beloit, WI 53511-2283
Phone
(608) 364-5011
Fax
(920) 320-3049
NPI assigned
Jul 21, 2006
Last updated
May 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 45033-20 WI Primary
Cardiovascular Disease Physician 207RC0000X 45033 WI
Cardiovascular Disease Physician 207RC0000X 34133 IA
Interventional Cardiology Physician 207RI0011X 34133 IA

Addresses

Primary practice location

Beloit Memorial Hospital
1969 West Hart Rd
Beloit, WI 53511-2283

Mailing address

1969 West Hart Rd
Beloit, WI 53511-2283
Phone (608) 364-5689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN2 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
I20120626000721 WI Practitioner - Interventional CardiologyPractitioner - Peripheral Vascular DiseasePractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2860458890 Reassigns benefits to 1 organization
I20201214002818 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860458890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians

Practice addresses (Care Compare)

1735 Madison Rd
Beloit, WI 53511-3216
Phone (608) 363-7510

1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-2200

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5756

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
64.82
Promoting interoperability
100
Improvement activities
40
Cost
71.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting51
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34133IAMDCardiovascular Disease Physician
45033WIMDCardiovascular Disease Physician
45033-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Clinic, S.C. Cardiovascular Disease Current Accepting new patients
Monroe Medical Group Inc CurrentSince Nov 19, 2020 Accepting new patients
Beloit Health System, Inc CurrentSince Apr 8, 2022 Accepting new patients
Beloit Health System Inc Cardiovascular Disease CurrentSince Apr 8, 2022 Accepting new patients
Cardiologists LC Cardiovascular Disease Past Accepting new patients
St. Luke's Methodist Hospital Cardiovascular Disease Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
St. Luke's Methodist Hospital Cardiovascular Disease Past Accepting new patients
Beloit Health System, Inc Past Accepting new patients
Holy Family Memorial Inc Past Accepting new patients

Locations

421 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-4468

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1669493359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 WEST HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112283",
            "telephone_number": "608-364-5689",
            "fax_number": "608-364-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELOIT MEMORIAL HOSPITAL",
            "address_2": "1969 WEST HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112283",
            "telephone_number": "608-364-5011",
            "fax_number": "920-320-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAM",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "45033-20",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "45033",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "34133",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "34133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.