Charles Militello, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8487 Issued in AZ

Practice address

3638 E Southern Ave Ste C108
Mesa, AZ 85206-2564

Phone

(480) 834-0771

Fax

(480) 834-1136

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Arizona Medical Associates PCGroup PAC ID 7416932389, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.militellopa.p1@direct.camavmed.nextgenshare.com
• Direct secure messaging: cmilitello18950@mydrnow.gardenplot.direct-ci.com

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.

• Central Arizona Medical Associates PC

  • Adult Medicine Physician
  • Mesa, AZ
  • NPI 1659487833
  Medicare reassignment Care Compare group
• Central Arizona Gastroenterology PC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1093518995
  NPD
• Infinite Health & Wellness Centers PLLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1114206638
  NPD (past)
• Mercy Medical Services

  • Family Medicine Physician
  • South Sioux City, NE
  • NPI 1043251754

  Medical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1922054808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE STE C108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062564",
            "telephone_number": "480-834-0771",
            "fax_number": "480-834-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE STE C108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062564",
            "telephone_number": "480-834-0771",
            "fax_number": "480-834-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILITELLO",
        "first_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "8487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095004",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Miles
• Kamille Miles
• Milestone Operations LLC
• Milestone Pediatrics LLC
• Myriah L Milhone, OTD, OTR/L
• Keith C Miller P C., DC
• Abraham Miller, DDS
• Amanda Rae Miller, RDN, LRD
• Amber K Miller
• Brooke Lauren Miller, PA

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.