Charles D Christian, M.D.
Individual provider Active NPI Internal Medicine Physician · Mooresville, IN
NPI 1700822889 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1700822889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01042767A (IN)
- Practice address
- 820 N Samuel Moore Pkwy
Ste B
Mooresville, IN 46158-1467 - Phone
- (317) 483-5060
- Fax
- (317) 483-5065
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000
Hospital & facility affiliations
- Franciscan VNS Home Care, Inc
- Indiana University Health
- Franciscan Health Mooresville
- Iu Health West Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100622000003 | IN | Practitioner - Internal Medicine | 4183755010 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042767 | IN | MD | Internal Medicine Physician |
| 01042767A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current |
Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
820 N Samuel Moore Pkwy
Ste B
Mooresville, IN 46158
Phone (317) 483-0560
820 N Samuel Moore Pkwy
#B
Mooresville, IN 46158
Interoperability endpoints
- cchristian@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01042767 | IN | |
| Internal Medicine Physician | 207R00000X | 01042767A | IN | Yes |
Addresses
Primary practice location
820 N Samuel Moore Pkwy
Ste B
Mooresville, IN 46158-1467
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200010700 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchristian@direct.iuhealth.org |
Other providers in Mooresville, IN
- Cathie L Barnes Sole MBR
- Erica Jo Caudill
- Miyah Renee Chambers
- Holly M Chapman
- Skipper Curtis Cheesman
- Bryan Alexander Chudnow
- City Optical Co., Inc.
- Lori Renee Clark
- Debra Neal Cohen
- Kristi Combs
All providers in Mooresville, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.