Individual provider Active NPI

Mark Leon Charpentier, M.D.

  • Pediatrics Physician
  • Madison, IN
National Provider Identifier
1720117195
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01058005A Issued in IN
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200472340MedicaidIN
7100294420MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000227 IN Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9032187273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
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

LicenseStateTypeSpecialty
01058005AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 27, 2023 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 CurrentSince Jan 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 27, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.