Individual provider Active NPI

Charles William Longwell III, M.D.

  • Neurology Physician
  • Columbus, OH
National Provider Identifier
1740406883
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.097007 Issued in OH
Practice address
5965 E Broad St
Suite 260
Columbus, OH 43213-1562
Phone
(614) 866-3703
Fax
(614) 866-6109
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35.097007 OH Primary

Addresses

Primary practice location

5965 E Broad St
Suite 260
Columbus, OH 43213-1562

Mailing address

5965 E Broad St
Suite 260
Columbus, OH 43213-1562
Phone (614) 866-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110527000362 OH Practitioner - NeurologyPractitioner - Obstetrics/Gynecology 3678750742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5965 E Broad St
Suite 260
Columbus, OH 43213-1562
Phone (614) 627-1390

6001 E Broad St
Mount Carmel Palliative Care
Columbus, OH 43213-1502
Phone (614) 234-6000

6150 E Broad St
Columbus, OH 43213-1574
Phone (614) 546-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.097007OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Jun 15, 2011 Accepting new patients
Mount Carmel Healthproviders Two LLC Neurology CurrentSince Jun 15, 2011 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

5965 E Broad St
Ste 260
Columbus, OH 43213
Phone (614) 627-1390

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

6150 E Broad St
Rm WD210
Columbus, OH 43213

Interoperability endpoints

  • Direct secure messaging: clongwell1142133@direct.trinity-health.org

Organizations & group practices 2

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 5

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1740406883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "SUITE 260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-866-3703",
            "fax_number": "614-866-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "SUITE 260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-866-3703",
            "fax_number": "614-866-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.097007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.