CHARLES MAHONEY DO
NPI 1376485003
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since April 09, 2026PECOS Enrolled
27450 SCHOENHERR RD STE 400, WARREN, MI 48088(586) 582-7550(586) 582-7515 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Mahoney Do NPPES

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

CHARLES MAHONEY DO (NPI 1376485003) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376485003
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES MAHONEYCredential: DO
Location Address27450 SCHOENHERR RD STE 400Warren, MI 48088-6684
Mailing Address27450 Schoenherr Rd Ste 400Warren, MI 48088-6684 · (586) 582-7550 · Fax (586) 582-7515
Fax(586) 582-7515
Sole ProprietorYes
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
NPI 1376485003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
27450 SCHOENHERR RD STE 400, Warren, MI 48088

Other Names 1

Other Name (5)Charlie Mahoney Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charles Mahoney Do 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.

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.

Student in an Organized Health Care Education/Training Program
27450 SCHOENHERR RD STE 400
WARREN, MI 48088
Student in an Organized Health Care Education/Training Program
27450 SCHOENHERR RD STE 400
WARREN, MI 48088
Family Medicine
27450 SCHOENHERR RD STE 400
WARREN, MI 48088
Family Medicine
27450 SCHOENHERR RD STE 400
WARREN, MI 48088
Student in an Organized Health Care Education/Training Program
27450 SCHOENHERR RD STE 400
WARREN, MI 48088
Student in an Organized Health Care Education/Training Program
27450 SCHOENHERR RD STE 400
WARREN, MI 48088
Student in an Organized Health Care Education/Training Program
27450 SCHOENHERR RD STE 400
WARREN, MI 48088
Student in an Organized Health Care Education/Training Program
27450 SCHOENHERR RD STE 400
WARREN, MI 48088

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 Mahoney's NPI number?

The NPI number for Charles Mahoney is 1376485003. It was assigned to this individual provider in the NPPES registry on April 9, 2026. The provider is also known as Charlie Mahoney Do.

Where is Charles Mahoney located?

Charles Mahoney practices at 27450 Schoenherr Rd Ste 400, Warren, MI 48088. The listed phone number is (586) 582-7550.

What is Charles Mahoney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Mahoney enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Mahoney was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.