CHARLES STUART DEPAOLO MD
NPI 1497684294
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 18, 2026PECOS Enrolled
920 MADISON AVE, MEMPHIS, TN 38103(901) 759-3275 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Stuart Depaolo Md NPPES

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

CHARLES STUART DEPAOLO MD (NPI 1497684294) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497684294
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES STUART DEPAOLOCredential: MD
Location Address920 MADISON AVEMemphis, TN 38103-3438
Mailing Address920 Madison AveMemphis, TN 38103-3438 · (901) 759-3275
Sole ProprietorYes
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
NPI 1497684294 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.
920 MADISON AVE, Memphis, TN 38103

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 Stuart Depaolo 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.

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.

Radiology (Radiation Oncology)
920 MADISON AVE, SUITE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE, SUITE C50
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE
MEMPHIS, TN 38103
Pediatrics
920 MADISON AVE
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE
MEMPHIS, TN 38103

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 Depaolo's NPI number?

The NPI number for Charles Depaolo is 1497684294. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Charles Depaolo located?

Charles Depaolo practices at 920 Madison Ave, Memphis, TN 38103. The listed phone number is (901) 759-3275.

What is Charles Depaolo'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 Depaolo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Depaolo was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.