Active NPI
Charles Robert Schleifer, MD
- Nephrology Physician
- Wynnewood, PA
National Provider Identifier
1679561963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD012672E
- Practice address
- 100 E Lancaster Ave
Suite 130 Medical Building West
Wynnewood, PA 19096-3450 - Phone
- (610) 649-1175
- Fax
- (610) 664-8561
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD012672E | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
Suite 130 Medical Building West
Wynnewood, PA 19096-3450
Mailing address
100 E Lancaster Ave
Suite 130 Medical Building West
Wynnewood, PA 19096-3450
Phone (610) 649-8089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007326750001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Kidney Care Specialists LLC | Nephrology | Past | Accepting new patients |
| Nephrology Associates Inc | Nephrology | Past | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
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 and National Provider Directory roles.
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- NPI 1881228484
-
- Nephrology Physician
- Broomall, PA
- NPI 1962992404
-
- Nephrology Physician
- Wynnewood, PA
- NPI 1457349797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1679561963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "SUITE 130 MEDICAL BUILDING WEST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-8089",
"fax_number": "610-649-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "SUITE 130 MEDICAL BUILDING WEST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-1175",
"fax_number": "610-664-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLEIFER",
"first_name": "CHARLES",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD012672E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007326750001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.