DR. CHARLES D RADIS DO
NPI 1235122094
Specialist in Portland, ME

Q: What is Charles Radis's NPI number?

The NPI number for Charles Radis is 1235122094. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Q: What is Charles Radis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Radis was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment

51 SEWALL ST, PORTLAND, ME 04102(207) 774-5761(207) 874-7478 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles D Radis Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES D RADIS DO (NPI 1235122094) is an individual specialist in Portland, Maine, licensed in Maine (1041) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Light Maine Coast Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1981).

NPPES Registry Identity

NPI1235122094

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. CHARLES D RADISCredential: DO

Location Address51 SEWALL STPortland, ME 04102-2643

Mailing Address51 Sewall StPortland, ME 04102-2643 · (207) 774-5761 · Fax (207) 874-7478

Phone(207) 774-5761

Fax(207) 874-7478

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1981

Enumeration DateAugust 26, 2005

Last NPPES UpdateAugust 26, 2010

✔ NPI 1235122094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in ME · 1041

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

51 SEWALL ST, Portland, ME 04102

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Other Identifiers 5

Other0673610001ME · Dmerc

Medicare UPIND93044ME

Other110116560ME · Palmettog Railroad Medicare

Medicare ID-Type UnspecifiedRAMM0306ME

Medicaid115940199ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles D Radis Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709812555

PECOS Enrollment IDI20050713000026

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200050

Location50 Union StreetEllsworth, ME 04605 · Hancock County

Emergency services Birthing friendly

Northern Light Blue Hill Memorial Hospital

Critical Access Hospitals · Blue Hill, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201300

Location57 Water StreetBlue Hill, ME 04614 · Hancock County

Emergency services

Down East Community Hospital

Critical Access Hospitals · Machias, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201311

Location11 Hospital DriveMachias, ME 04654 · Washington County

Emergency services

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHEUMATOLOGY ASSOCIATES P.A.

Specialist