Active NPI
Charles E Camacho, MD
- Obstetrics & Gynecology Physician
- Somerset, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD073437L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219062 | Other | PA | UPMC HEALTH PLAN |
| 0018425730001 | Medicaid | PA | |
| 118690 | Other | PA | MEDPLUS |
| 1517646 | Other | PA | GATEWAY 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Rural Health Clinic/Center
- Ebensburg, PA
- NPI 1356122329
-
- Rural Health Clinic/Center
- Hollsopple, PA
- NPI 1356757710
-
- Rural Health Clinic/Center
- Portage, PA
- NPI 1427464874
-
- Rural Health Clinic/Center
- Carrolltown, PA
- NPI 1558777995
-
- Rural Health Clinic/Center
- Cresson, PA
- NPI 1902687973
-
- Registered Dietitian
- Johnstown, PA
- NPI 1760154975
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1144636267
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.