CHARLES J BACALL MD
NPI 1649382136
Obstetrics & Gynecology in New York, NY
About Charles J Bacall Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES J BACALL MD (NPI 1649382136) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (129470) and active in the NPI registry since August 2006. He has opted out of Medicare through February 25, 2027 and remains eligible to order and refer and is a graduate of New York Medical College (1975).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Charles J Bacall Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 25, 2021 through February 25, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10128
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 Bacall's NPI number?
The NPI number for Charles Bacall is 1649382136. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Charles Bacall located?
Charles Bacall practices at 1126 Park Ave, New York, NY 10128. The listed phone number is (212) 289-4500.
What is Charles Bacall's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Charles Bacall enrolled in Medicare?
No. Charles Bacall has opted out of Medicare through February 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Charles Bacall was last updated on July 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Charles J Bacall, MD · NPI 1649382136
Obstetrics & Gynecology physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1649382136 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 129470 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1126 PARK AVE, New York, NY 10128-1203
- **Phone:** (212) 289-4500 · **Fax:** (212) 289-6793
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 25, 2027); services are provided under private contract
- **Medical school:** New York Medical College, class of 1975
## Record status
- **NPPES last updated:** July 26, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 09A321; Medicare UPIN A99325 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1649382136) · Data from the CMS NPPES public registry.