Active NPI
John L Charlton III, DPM
- Podiatrist
- Baltimore, MD
National Provider Identifier
1932205994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 01077
- Practice address
- 5013 Roland Ave
Baltimore, MD 21210-2220 - Phone
- (410) 433-1122
- Fax
- (410) 433-1122
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 01077 | MD | Primary |
Addresses
Primary practice location
5013 Roland Ave
Baltimore, MD 21210-2220
Mailing address
5013 Roland Ave
Baltimore, MD 21210-2220
Phone (410) 433-1122
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T304JL | Other | MD | BS |
| 0974140002 | Other | ADMINISTER FED | |
| 52069802 | Other | MD | BCBS |
| 090608500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5013 Roland Ave
Suite 1
Baltimore, MD 21210-2298
Phone (410) 433-1122
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1077 | MD | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 1
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.
-
- Podiatrist
- Baltimore, MD
- NPI 1427353408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1932205994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 ROLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102220",
"telephone_number": "410-433-1122",
"fax_number": "410-433-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5013 ROLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102220",
"telephone_number": "410-433-1122",
"fax_number": "410-433-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLTON",
"first_name": "JOHN",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "01077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "T304JL",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTER FED",
"identifier": "0974140002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52069802",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090608500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.