Individual provider Active NPI

Charles N. Barax, MD

  • Diagnostic Radiology Physician
  • Scranton, PA
National Provider Identifier
1962495374
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD072674L Issued in PA
Practice address
613 N Webster Ave
Scranton, PA 18510-1808
Phone
(570) 348-0394
Fax
(570) 348-0398
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD072674L PA Primary

Addresses

Primary practice location

613 N Webster Ave
Scranton, PA 18510-1808

Mailing address

613 N Webster Ave
Scranton, PA 18510-1808
Phone (570) 348-0394

Other identifiers 1

IdentifierTypeStateIssuer
0018273800012MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031120000505 PA Practitioner - Diagnostic Radiology 5991609133 Reassigns benefits to 2 organizations
I20110705000393 VA Practitioner - Diagnostic Radiology 5991609133 Reassigns benefits to 4 organizations
I20160407000310 NY Practitioner - Diagnostic Radiology 5991609133 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
University of Virginia Physicians Group CurrentSince Mar 1, 2019 Accepting new patients
Wayne Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Fayette Physician Network Inc CurrentSince May 21, 2024 Accepting new patients
Augusta Health Care, Inc CurrentSince Jan 16, 2023 Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Jan 16, 2023 Accepting new patients
Bath County Community Hospital CurrentSince Nov 1, 2021 Accepting new patients
Fayette Physician Network Inc CurrentSince May 21, 2024 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Dec 1, 2015 Accepting new patients
Wayne Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Dec 1, 2015 Accepting new patients
Stand-Up MRI of East Elmhurst, P.C. Past Accepting new patients
Stand-Up MRI of East Elmhurst, PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Scranton, LLC Diagnostic Radiology Past Accepting new patients
Mercy Imaging Associates, PC Diagnostic Radiology Past Accepting new patients

Locations

515 Main St
Olean, NY 14760
Phone (716) 373-2600

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

15195 Heathcote Blvd
Ste 350
Haymarket, VA 20169
Phone (571) 284-3180

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1962495374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N WEBSTER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101808",
            "telephone_number": "570-348-0394",
            "fax_number": "570-348-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N WEBSTER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101808",
            "telephone_number": "570-348-0394",
            "fax_number": "570-348-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAX",
        "first_name": "CHARLES",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD072674L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018273800012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.