Cassandre C Charles, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01777 Issued in MD

Practice address

110 Old Padonia Rd Ste 301
Cockeysville, MD 21030-4948

Phone

(410) 628-1066

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Podiatry Associates PA 18 clinicians

Blanken Foot and Ankle LLC 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassandre.charles.1@6814.direct.athenahealth.com
• Direct secure messaging: ccharles641534@direct.umm.edu
• Direct secure messaging: cassandre.charles.1@4399.direct.athenahealth.com

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.

• Blanken Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Silver Spring, MD
  • NPI 1285414466

  DC, Podiatrist

  Medicare reassignment Care Compare group NPD
• Podiatry Associates, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Bel Air, MD
  • NPI 1487879938

  MD, Podiatrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1770143497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143592",
            "telephone_number": "410-420-4325",
            "fax_number": "410-803-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OLD PADONIA RD STE 301",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304948",
            "telephone_number": "410-628-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6569 N Charles St Ste 702",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212046832",
            "country_code": "US",
            "telephone_number": "410-828-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CASSANDRE",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Progressive Learning Inc
• Center for Progressive Learning Inc
• Christina C. Chadwick, M.S., L.C.P.C.
• Caprice Denise Chainey
• Charles S. Samorodin MD, PA
• Charlotte Chason
• Sandra Cherop
• Mitchell Tyree Cherry, LCPC
• Liberty Cheshire
• Grace Lee Chou

• All providers in Cockeysville, MD
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.