Individual provider Active NPI

Charles A Stanislav, MD

  • Internal Medicine Physician
  • Lewes, DE
National Provider Identifier
1720067747
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10005349 Issued in DE
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

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000479 DE Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5597667766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric 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 Home health agency, Millsboro, DE, CCN 087023
  • Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C100005349DEMDAdolescent Medicine (Family Medicine) Physician
C100005349FLMDAdult Medicine Physician
C10005349DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chas Medicine LLC Internal Medicine CurrentSince Dec 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.