Individual provider Active NPI

Charles F Guardia III, M.D.

  • Neurology Physician
  • Danbury, CT
National Provider Identifier
1841464641
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
52764 Issued in CT
Practice address
69 Sand Pit Rd
Suite 300
Danbury, CT 06810-4004
Phone
(203) 748-2551
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 52764 CT
Neurology Physician 2084N0400X 52764 CT Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 52764 CT

Addresses

Primary practice location

69 Sand Pit Rd
Suite 300
Danbury, CT 06810-4004

Mailing address

69 Sand Pit Rd
Suite 300
Danbury, CT 06810-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140918001862 CT Practitioner - Neurology 9436378726 Reassigns benefits to 1 organization
I20240215004132 NY Practitioner - Neurology 9436378726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

69 Sand Pit Rd
Danbury, CT 06810-4004
Phone (203) 748-2551

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52764CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Jan 6, 2024 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Jan 6, 2024 Accepting new patients

Locations

69 Sand Pit Rd
Danbury, CT 06810
Phone (203) 748-2551

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

79 Sand Pit Rd
Danbury, CT 06810
Phone (203) 749-5700

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

69 Sand Pit Rd
Ste 300
Danbury, CT 06810
Phone (203) 748-2551

1389 W Main St
Ste 106
Waterbury, CT 06708
Phone (203) 591-1998

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Fl 3
Poughkeepsie, NY 12601
Phone (845) 483-6920

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1841464641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE 300",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE 300",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-748-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIA",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CT",
            "license": "52764",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "52764",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CT",
            "license": "52764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.