Individual provider Active NPI

Charles E Camacho, MD

  • Obstetrics & Gynecology Physician
  • Somerset, PA
National Provider Identifier
1700871985
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD073437L Issued in PA
Practice address
126 E Church St
Suite 3100
Somerset, PA 15501-2271
Phone
(814) 445-3535
Fax
(814) 445-3245
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD073437L PA Primary

Addresses

Primary practice location

126 E Church St
Suite 3100
Somerset, PA 15501-2271

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300

Other identifiers 4

IdentifierTypeStateIssuer
219062OtherPAUPMC HEALTH PLAN
0018425730001MedicaidPA
118690OtherPAMEDPLUS
1517646OtherPAGATEWAY HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000231 PA Practitioner - Obstetrics/Gynecology 1557328739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Hawaii John a. Burns School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLC 286 clinicians

Practice addresses (Care Compare)

126 E Church St
Conemaugh OB GYN Associates
Somerset, PA 15501-2271
Phone (814) 445-3535

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 1, 2016 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Nov 1, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 1, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Nov 1, 2016 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients

Locations

1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

126 E Church St
Ste 3100
Somerset, PA 15501
Phone (814) 445-3535

1291 N Center Ave
Ste 100
Somerset, PA 15501
Phone (814) 445-3535

126 E Church St
Somerset, PA 15501
Phone (814) 445-3330

Interoperability endpoints

  • Direct secure messaging: ccamacho22186@direct.conemaugh.org

Organizations & group practices 13

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.

View all 13

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1700871985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST",
            "address_2": "SUITE 3100",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012271",
            "telephone_number": "814-445-3535",
            "fax_number": "814-445-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD073437L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "219062",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018425730001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "118690",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1517646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.