Active NPI
Charles A Stanislav, MD
- Internal Medicine Physician
- Lewes, DE
National Provider Identifier
1720067747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C10005349
- Practice address
- 34435 King Street Row
Suite 1
Lewes, DE 19958-4787 - Phone
- (302) 644-1300
- Fax
- (302) 644-1086
- NPI assigned
- Jan 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C10005349 | DE | Primary |
| Adult Medicine Physician | 207QA0505X | C100005349 | FL | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | C100005349 | DE |
Addresses
Primary practice location
34435 King Street Row
Suite 1
Lewes, DE 19958-4787
Mailing address
34435 King Street Row Ste 1
Lewes, DE 19958-4787
Phone (302) 644-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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
- Internal Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
34435 King St Row
Suite 3
Lewes, DE 19958-4787
Phone (302) 644-5870
Hospital & facility affiliations
- Beebe Hospital Home Health
- Amedisys Home Health
- Beebe Medical Center
- Bayhealth Hospital, Sussex Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C100005349 | DE | MD | Adolescent Medicine (Family Medicine) Physician |
| C100005349 | FL | MD | Adult Medicine Physician |
| C10005349 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chas Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Beebe Physician Network Inc. | Adult Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Sussex Emergency Associates LLC | Past | Accepting new patients |
Locations
34435 King Street Row
Ste 3
Lewes, DE 19958
Phone (302) 245-4858
Interoperability endpoints
- charles.stanislav.1@20134.direct.athenahealth.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1326692112
-
- Emergency Medicine Physician
- Lewes, DE
- NPI 1275512105
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Georgetown, DE
- NPI 1417021700
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1720067747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34435 KING STREET ROW STE 1",
"city": "LEWES",
"state": "DE",
"postal_code": "199584787",
"telephone_number": "302-644-1300",
"fax_number": "302-644-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34435 KING STREET ROW",
"address_2": "SUITE 1",
"city": "LEWES",
"state": "DE",
"postal_code": "199584787",
"telephone_number": "302-644-1300",
"fax_number": "302-644-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANISLAV",
"first_name": "CHARLES",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C10005349",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "C100005349",
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "DE",
"license": "C100005349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.