NPIMap

Individual provider Active NPI

Charles McDonald Ware Jr., M.D.

  • Orthopaedic Surgery Physician
  • Mishawaka, IN
National Provider Identifier
1881689834
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01041995 Issued in IN
Practice address
270 E Day Rd
Ste 200
Mishawaka, IN 46545-3444
Phone
(574) 271-5151
Fax
(574) 271-5175
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01041995 IN Primary

Addresses

Primary practice location

270 E Day Rd
Ste 200
Mishawaka, IN 46545-3444

Mailing address

270 E Day Rd
Ste 200
Mishawaka, IN 46545-3444
Phone (574) 271-5151

Other identifiers 3

IdentifierTypeStateIssuer
200028305OtherGARR MEDICARE
100409920MedicaidIN
000000092064OtherBC/BS (ANTHEM)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000563 IN Practitioner - Orthopedic Surgery 4082674130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wright State University Boonshoft School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mishawaka Orthopedics and Sports Medicine PCGroup PAC ID 8426099045, 2 clinicians

Practice addresses (Care Compare)

270 E Day Rd
Mishawaka, IN 46545-3444
Phone (574) 271-5151

Hospital & facility affiliations

  • Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300
  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Saint Joseph Regional Medical Center - Plymouth Hospital, Plymouth, IN, CCN 150076
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)21
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041995INMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mishawaka Orthopedics and Sports Medicine P C CurrentSince Jan 1, 1994 Accepting new patients
Center for Minimally Invasive Spinecare, Inc PastSince Apr 18, 2016 Accepting new patients

Locations

270 E Day Rd
Ste 200
Mishawaka, IN 46545
Phone (219) 271-5151

Interoperability endpoints

  • Direct secure messaging: cware1267138@direct.trinity-health.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70617

Organizations & group practices 2

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 9

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1881689834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E DAY RD",
            "address_2": "STE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453444",
            "telephone_number": "574-271-5151",
            "fax_number": "574-271-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E DAY RD",
            "address_2": "STE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453444",
            "telephone_number": "574-271-5151",
            "fax_number": "574-271-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "CHARLES",
        "middle_name": "MCDONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01041995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200028305",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100409920",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS (ANTHEM)",
            "identifier": "000000092064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.