Individual provider Active NPI

Mark Barton Charbonnet, MD

  • Hematology & Oncology Physician
  • New Iberia, LA
National Provider Identifier
1891718177
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
023042 Issued in LA
Practice address
602 N Lewis St
Suite 600
New Iberia, LA 70563-2093
Phone
(337) 560-5510
Fax
(337) 560-5554
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 023042 LA Primary

Addresses

Primary practice location

602 N Lewis St
Suite 600
New Iberia, LA 70563-2093

Mailing address

PO Box 12109
New Iberia, LA 70562-2109
Phone (337) 560-5510

Other identifiers 1

IdentifierTypeStateIssuer
1490601MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101111001565 LA Practitioner - General PracticePractitioner - Medical Oncology 9739374026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Medical Oncology
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 N Lewis St
Suite 600
New Iberia, LA 70563-2983
Phone 33756955198

Hospital & facility affiliations

  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark B. Charbonnet, MD Apmc Medical Oncology CurrentSince Jul 13, 2010 Accepting new patients
Iberia Dermatology PastSince Jul 13, 2010 Accepting new patients

Locations

602 N Lewis St
Ste 600
New Iberia, LA 70563
Phone (337) 560-1200

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 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1891718177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12109",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705622109",
            "telephone_number": "337-560-5510",
            "fax_number": "337-560-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N LEWIS ST",
            "address_2": "SUITE 600",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632093",
            "telephone_number": "337-560-5510",
            "fax_number": "337-560-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNET",
        "first_name": "MARK",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "023042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.