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DR. CHARLES DAVID ELDRIDGE IV MD
NPI 1295912764
Pediatrics - Pediatric Emergency Medicine in Saint Petersburg, FL

Active since January 28, 2008PECOS Enrolled
501 6TH AVE S, SAINT PETERSBURG, FL 33701(727) 767-8480(727) 767-8420 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2016, Oct 1, 2015 (2 updates tracked since 2015).

About Dr. Charles David Eldridge Iv Md NPPES

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

DR. CHARLES DAVID ELDRIDGE IV MD (NPI 1295912764) is an individual pediatric emergency medicine provider in Saint Petersburg, Florida, licensed in Florida (ME126811) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295912764
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. CHARLES DAVID ELDRIDGE IVCredential: MD
Location Address501 6TH AVE SSaint Petersburg, FL 33701-4634
Mailing Address501 6th Ave SSaint Petersburg, FL 33701-4634 · (727) 767-8480 · Fax (727) 767-8420
Phone(727) 767-8480
Fax(727) 767-8420
Sole ProprietorNo
Enumeration DateJanuary 28, 2008
Last NPPES UpdateJune 27, 20162 updates tracked since enumeration
✔ NPI 1295912764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in FL · ME126811✔ Licensed in MO · 2009010647
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 2009010647 (MO), ME126811 (FL)
501 6TH AVE S, Saint Petersburg, FL 33701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles David Eldridge Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Eldridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inphynet Contracting Services LLC
180 mi
Emergency Medicine
5352 LINTON BLVD
Delray Beach, FL 33484
  • Reassigned Medicare billing, Florida enrollment
  • 527 clinicians in this Medicare group
NPI 1073556767 (561) 495-3115
Emergency Physicians Inc
185 mi
Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
NPI 1285686675 (904) 396-5682

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. STEPHEN ROGERS KENNEDY MD
Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4243
DR. WILLIAM EDWARD SCHAAF JR. M.D.
Radiology (Pediatric Radiology)
501 6TH AVE S, DEPARTMENT OF RADIOLOGY
SAINT PETERSBURG, FL 33701
Pinellas County (727) 767-3318
KRISTY W PATEL MD
Hospitalist
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4243
JENNIFER FOUTCH M.S.W.
Social Worker
501 6TH AVE S, DEPT.# 7470
ST PETERSBURG, FL 33701
Pinellas County (727) 767-6794
SUSAN BUFFINGTON
Nurse Practitioner (Pediatrics)
501 6TH AVE S, DEPT OF RADIOLOGY
ST PETERSBURG, FL 33701
Pinellas County (727) 767-3318
BRITTANY EASTER BOWER ARNP
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4313
DR. DERECK DAVY PHRATHEP PH.D.
Psychologist
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
TARA MORDER
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Eldridge's NPI number?

The NPI number for Charles Eldridge is 1295912764. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Charles Eldridge located?

Charles Eldridge practices at 501 6th Ave S, Saint Petersburg, FL 33701. The listed phone number is (727) 767-8480.

What is Charles Eldridge's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Charles Eldridge enrolled in Medicare?

Yes. Charles Eldridge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Eldridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Eldridge reassigns Medicare benefits to 2 organizations: Inphynet Contracting Services LLC (Delray Beach, FL) and Emergency Physicians Inc (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Eldridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Eldridge was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.