Active NPI
Charter Radiology, LLC
- Diagnostic Radiology Physician
- Clarksville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CHARTER RADIOLOGY, LLC
- Practice address
- 5005 Signal Bell LN Ste 102
Clarksville, MD 21029-2607 - Phone
- (443) 917-2855
- Fax
- (410) 346-5775
- NPI assigned
- Apr 22, 2024
- Last updated
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arvinder Uppal, MD
- Title
- President
- Phone
- (443) 917-2855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
5005 Signal Bell LN Ste 102
Clarksville, MD 21029-2607
Mailing address
10 Little Brook Rd
West Wareham, MA 02576-1222
Phone (508) 273-1250
Other names 1
- Charter Radiology, LLC - Clarksville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140131001490 | MD | Part B Supplier - Clinic/Group Practice | 8426287087 |
Receives reassigned benefits from 10 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Reisterstown, MD; Ellicott City, MD; Columbia, MD; Edgewater, MD; Clarksville, MD |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Reisterstown, MD
- NPI 1629823844
O20140131001490
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2191860 | Charter Radiology | Certificate of waiver | Sep 1, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Charter Radiology LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Reisterstown, MD
- NPI 1629823844
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Columbia, MD
- NPI 1073585261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1801641014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LITTLE BROOK RD",
"city": "WEST WAREHAM",
"state": "MA",
"postal_code": "025761222",
"telephone_number": "508-273-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 SIGNAL BELL LN STE 102",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210292607",
"telephone_number": "443-917-2855",
"fax_number": "410-346-5775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARTER RADIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-21",
"status": "A",
"authorized_official_last_name": "UPPAL",
"authorized_official_first_name": "ARVINDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-917-2855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Charter Radiology, LLC - Clarksville",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clarksville, MD
- Centennial Medical Group, PA
- Centers for Advanced Orthopaedics, LLC
- Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC
- Daniel W Chan, PH.D.
- Yam Chan, OTR/L
- Carmen Cheng, PHARMD
- Chesapeake Physical Aquatic Therapy, Inc
- Seong CHI, MD
- Child and Adult Psychiatry Services LLC
- Choice Care Health Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.