Individual provider Active NPI

Juliette E Louis-Charles, DO

  • Family Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1740216563
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008290L Issued in PA
Practice address
7810 Old York Rd
Elkins Park, PA 19027-2509
Phone
(215) 782-2250
Fax
(215) 277-7876
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008290L PA Primary

Addresses

Primary practice location

7810 Old York Rd
Elkins Park, PA 19027-2509

Mailing address

7805 Deer Run Rd
Glenside, PA 19038-7223
Phone (215) 292-1364

Other identifiers 2

IdentifierTypeStateIssuer
0015389860004MedicaidPA
787924YES1OtherPAMEDICARE PROVIDER NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000110 PA Practitioner - Family Practice 6608054788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7810 Old York Rd
Elkins Park, PA 19027-2516
Phone (215) 782-2250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Body and Soul Inc. Family Medicine CurrentSince Sep 20, 1995 Accepting new patients

Locations

2953 N 5th St
Phila, PA 19133

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1740216563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 DEER RUN RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387223",
            "telephone_number": "215-292-1364",
            "fax_number": "215-277-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272509",
            "telephone_number": "215-782-2250",
            "fax_number": "215-277-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS-CHARLES",
        "first_name": "JULIETTE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008290L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015389860004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "787924YES1",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.