Active NPI
Cameron M Charchenko, MD
- Urology Physician
- Bismarck, ND
National Provider Identifier
1750676201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 55241
- Practice address
- 222 N 7TH St
Bismarck, ND 58501-4436 - Phone
- (701) 323-6000
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 55241 | MN | Primary |
Addresses
Primary practice location
222 N 7TH St
Bismarck, ND 58501-4436
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (701) 323-6000
Other practice location 1
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01226100 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160909001347 | ND | Practitioner - Urology | 0648427161 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of North Dakota School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
701 E Rosser Ave
Bismarck, ND 58501-4457
Phone (701) 323-6815
Hospital & facility affiliations
- Sanford Medical Center Bismarck
- CHI St Alexius Health
- Trinity Hospitals
- Sanford Medical Center Fargo
- CHI St Alexius Health Turtle Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Alexius Medical Center | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients |
Locations
701 E Rosser Ave
Bismarck, ND 58501
Phone (701) 751-6755
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153
222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422
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.
-
- Occupational Medicine Clinic/Center
- Dickinson, ND
- NPI 1669524351
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1750676201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "701-323-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014436",
"telephone_number": "701-323-6000"
}
],
"practiceLocations": [
{
"address_1": "900 E Broadway Ave",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585014520",
"country_code": "US",
"telephone_number": "701-530-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARCHENKO",
"first_name": "CAMERON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "55241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01226100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.