Individual provider Active NPI

Charles Jayadeep Dhyanchand, MD

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1790861805
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.090037 Issued in OH
Practice address
1400 S Arlington St
St. 38
Akron, OH 44306-3750
Phone
(330) 724-5471
Fax
(330) 786-0108
NPI assigned
Oct 31, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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 35.090037 OH Primary

Addresses

Primary practice location

1400 S Arlington St
St. 38
Akron, OH 44306-3750

Mailing address

1400 S Arlington St
St. 38
Akron, OH 44306-3750
Phone (330) 724-5471

Other names 1

  • Dr. Charles Jayadeep Dhyanchand Professional name

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
I20170504002469 OH Practitioner - Family Practice 6406949825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4320 Cleveland Ave S
Canton, OH 44707-1143
Phone (330) 484-2584

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.090037OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman North Canton Medical Group CurrentSince Jun 1, 2017 Accepting new patients
Cherokee Health Systems Family Medicine Past Accepting new patients
North Canton Medical Foundation Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4320 Cleveland Ave S
Canton, OH 44707
Phone (330) 484-2584

Interoperability endpoints

  • Direct secure messaging: charles.dhyanchand@direct.aultman.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1790861805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST",
            "address_2": "ST. 38",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063750",
            "telephone_number": "330-724-5471",
            "fax_number": "330-786-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST",
            "address_2": "ST. 38",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063750",
            "telephone_number": "330-724-5471",
            "fax_number": "330-786-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHYANCHAND",
        "first_name": "CHARLES",
        "middle_name": "JAYADEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.090037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "DHYANCHAND",
            "middle_name": "JAYADEEP",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.