Individual provider Active NPI

Charles Taylo Kluge, PA

  • Physician Assistant
  • Westminster, MD
National Provider Identifier
1992786990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0000989 Issued in MD
Practice address
532 Baltimore Blvd
Suite 201
Westminster, MD 21157-6117
Phone
(410) 751-8800
Fax
(410) 751-9354
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0000989 MD Primary

Addresses

Primary practice location

532 Baltimore Blvd
Suite 201
Westminster, MD 21157-6117

Mailing address

532 Baltimore Blvd
Suite 201
Westminster, MD 21157-6117
Phone (410) 751-8800

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060717000040 MD Practitioner - Physician Assistant 7719990720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

193 Stoner Ave
Suite 310
Westminster, MD 21157-5589
Phone (410) 871-2204

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
Carroll Orthopaedic Specialists Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Greater Chesapeake Orthopedics Associates, LLC Past Accepting new patients

Locations

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

193 Stoner Ave
Ste 310
Westminster, MD 21157
Phone (410) 751-2363

844 Washington Rd
Ste 102
Westminster, MD 21157
Phone (410) 227-2056

Organizations & group practices 4

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 1

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992786990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BALTIMORE BLVD",
            "address_2": "SUITE 201",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576117",
            "telephone_number": "410-751-8800",
            "fax_number": "410-751-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BALTIMORE BLVD",
            "address_2": "SUITE 201",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576117",
            "telephone_number": "410-751-8800",
            "fax_number": "410-751-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGE",
        "first_name": "CHARLES",
        "middle_name": "TAYLO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.