Active NPI
Mark Leon Charpentier, M.D.
- Pediatrics Physician
- Madison, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01058005A
- Practice address
- 1373 E State Road 62
Madison, IN 47250-7328 - Phone
- (812) 801-0152
- Fax
- (812) 801-0150
- NPI assigned
- Mar 3, 2007
- Last updated
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01058005A | IN | |
| Pediatrics Physician | 208000000X | 01058005A | IN | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01058005A | IN | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 01058005A | IN |
Addresses
Primary practice location
1373 E State Road 62
Madison, IN 47250-7328
Mailing address
4132 Andrew Dr
Floyds Knobs, IN 47119-9364
Phone (502) 558-5990
Other practice location 1
1373 E State Road 62 Ste 2B
Madison, IN 47250-7328
Phone (812) 273-5372
Other practice location 2
445 Clifty Dr
Madison, IN 47250-1607
Phone (812) 273-5372
Other practice location 3
3118 E 10th St Ste C
Jeffersonville, IN 47130-5904
Phone (812) 280-9355
Other practice location 4
3605 Northgate Ct Ste 110
New Albany, IN 47150-6400
Phone (812) 949-5749
Other practice location 5
1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0152
Other practice location 6
2051 Clevidence Blvd Ste A
Clarksville, IN 47129-2278
Phone (812) 282-1720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200472340 | Medicaid | IN | |
| 7100294420 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058005A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Pediatrics | Current | Accepting new patients |
| Tristate Pathology and Forensic Services LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Unity Urgent Care LLC | Past | Accepting new patients | |
| Artesian Waters Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Community Medical Associates, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
445 Clifty Dr
Madison, IN 47250
Phone (812) 273-5372
3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1285103671
-
- Internal Medicine Physician
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- NPI 1588614994
IN, Pediatrics
-
dba Norton King's Daughters' Health
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- NPI 1114955093
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- NPI 1336805563
-
- Anatomic Pathology & Clinical Pathology Physician
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- NPI 1649720244
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- Emergency Medicine Physician
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- NPI 1700747946
-
dba Norton Emergency Medicine
- Emergency Medicine Physician
- Louisville, KY
- NPI 1679275440
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Emergency Medicine Physician
- Martinsville, IN
- NPI 1639312028
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- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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- Urgent Care Clinic/Center
- Lafayette, IN
- NPI 1205874674
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- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1720117195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 ANDREW DR",
"city": "FLOYDS KNOBS",
"state": "IN",
"postal_code": "471199364",
"telephone_number": "502-558-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 E STATE ROAD 62",
"city": "MADISON",
"state": "IN",
"postal_code": "472507328",
"telephone_number": "812-801-0152",
"fax_number": "812-801-0150"
}
],
"practiceLocations": [
{
"address_1": "1373 E State Road 62 Ste 2B",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "IN",
"postal_code": "472507328",
"country_code": "US",
"telephone_number": "812-273-5372",
"fax_number": "812-801-5741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 Clifty Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "IN",
"postal_code": "472501607",
"country_code": "US",
"telephone_number": "812-273-5372",
"fax_number": "812-273-5741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3118 E 10th St Ste C",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471305904",
"country_code": "US",
"telephone_number": "812-280-9355",
"fax_number": "812-285-1487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3605 Northgate Ct Ste 110",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471506400",
"country_code": "US",
"telephone_number": "812-949-5749",
"fax_number": "812-949-5794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1373 E State Road 62",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "IN",
"postal_code": "472507328",
"country_code": "US",
"telephone_number": "812-801-0152",
"fax_number": "812-801-0150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2051 Clevidence Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "IN",
"postal_code": "471292278",
"country_code": "US",
"telephone_number": "812-282-1720",
"fax_number": "812-280-6636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARPENTIER",
"first_name": "MARK",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-03",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01058005A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01058005A",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01058005A",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "IN",
"license": "01058005A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200472340",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100294420",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.