Active NPI
Cantave Charlot, MD
- General Practice Physician
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN888
- Practice address
- 1200 NE 125TH St
North Miami, FL 33161-5936 - Phone
- (305) 685-5688
- Fax
- (305) 688-7995
- NPI assigned
- Aug 3, 2016
- Last updated
- Jan 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN888 | FL | Primary |
Addresses
Primary practice location
1200 NE 125TH St
North Miami, FL 33161-5936
Mailing address
30 E Elm St Apt 3G
Linden, NJ 07036-2976
Phone (732) 481-9442
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cantave.charlot@conviva.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 SW Saint Lucie W Blvd
Port St Lucie, FL 34986-1766
Phone (772) 877-3591
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Land Medical Center | Multi-Specialty | Current | Accepting new patients |
| Metcare of Florida, Inc | Current | Accepting new patients | |
| Conviva Medical Center Management LLC | Multi-Specialty | Current | Accepting new patients |
| Metcare of Florida, Inc | Multi-Specialty | Current | Accepting new patients |
Locations
6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686
90 N Main St
Labelle, FL 33935
Phone (863) 261-1627
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 877-3591
1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200
900 SW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 877-3591
Interoperability endpoints
- cantave.charlot@conviva.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
Multi-Specialty
-
dba Conviva Care Center
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
Multi-Specialty
-
dba Conviva Care Center
- Internal Medicine Physician
- Port Orange, FL
- NPI 1619433869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1679026983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E ELM ST APT 3G",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070362976",
"telephone_number": "732-481-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NE 125TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615936",
"telephone_number": "305-685-5688",
"fax_number": "305-688-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLOT",
"first_name": "CANTAVE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN888",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cantave.charlot@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1430 SW Saint Lucie West Blvd Ste 101",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349862134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.