Individual provider Active NPI

Marvinia Charles, M.D

  • Emergency Medicine Physician
  • Irving, TX
National Provider Identifier
1790041762
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q7847 Issued in TX
Practice address
1901 N Macarthur Blvd
Attention - Chelsea Dahlquist
Irving, TX 75061-2220
Phone
(732) 535-2711
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q7847 TX Primary
Emergency Medicine Physician 207P00000X EMC0004498 MI

Addresses

Primary practice location

1901 N Macarthur Blvd
Attention - Chelsea Dahlquist
Irving, TX 75061-2220

Mailing address

3100 Carlisle St
3101
Dallas, TX 75204-1358
Phone (732) 535-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, OH, ME, IL, MI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20160810002340 TX Practitioner - Emergency Medicine 3274827449 Reassigns benefits to 2 organizations
I20190325002568 IN Practitioner - Emergency Medicine 3274827449 Reassigns benefits to 2 organizations
I20191227000842 OH Practitioner - Emergency Medicine 3274827449 Reassigns benefits to 3 organizations
I20210524002237 ME Practitioner - Emergency Medicine 3274827449 Reassigns benefits to 1 organization
I20230214002497 IL Practitioner - Emergency Medicine 3274827449 Reassigns benefits to 1 organization
I20240316000484 MI Practitioner - Emergency Medicine 3274827449 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7847TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2022 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Dispatchhealth-Texas P a Emergency Medicine CurrentSince Nov 13, 2020 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince May 21, 2021 Accepting new patients
Riverview Hospital CurrentSince Dec 19, 2022 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Innovative Emergency Physicians of Uptown Emergency Medicine CurrentSince Feb 13, 2024 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2022 Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Dec 19, 2022 Accepting new patients

Locations (25 of 26)

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3500 Gaston Ave
Dallas, TX 75246

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

Interoperability endpoints

  • Direct secure messaging: marvinia.charles.1@13869.direct.athenahealth.com
  • Direct secure messaging: mcharlesmd398677@carlehiedirect.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1790041762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CARLISLE ST",
            "address_2": "3101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041358",
            "telephone_number": "732-535-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MACARTHUR BLVD",
            "address_2": "ATTENTION - CHELSEA DAHLQUIST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612220",
            "telephone_number": "732-535-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MARVINIA",
        "name_prefix": "Miss",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q7847",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "EMC0004498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.