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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEX JAMES CHARBONEAU MD
NPI 1649731068
Surgery in Louisville, KY

Active since March 28, 2019PECOS Enrolled
550 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-5193 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Jun 2, 2025, Apr 11, 2025 and 1 more (4 updates tracked since 2019).

About Alex James Charboneau Md NPPES

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

ALEX JAMES CHARBONEAU MD (NPI 1649731068) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (60508) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1649731068
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALEX JAMES CHARBONEAUCredential: MD
Location Address550 S JACKSON STLouisville, KY 40202-1622
Mailing Address2845 Greenbrier RdGreen Bay, WI 54311-6519 · (920) 490-9046
Phone(502) 852-5193
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1649731068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · 60508✔ Licensed in WA · 60951432
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 87076-20 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 S JACKSON ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11100 9th AveSeattle, WA 98101-2756 · Phone (206) 624-1140
Location 21959 NE Pacific StSeattle, WA 98195-0001 · Phone (206) 543-3680
Location 32845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (920) 490-9046

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex James Charboneau 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BROCK AARON MARTIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1816
UNIVERSITY PHYSICIAN ASSOCIATES
Internal Medicine (Critical Care Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8686
KATHRYN KENDALL BURKE MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
STANLEY A. GALL M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8850
DR. STEVEN B LIPPMANN M.D.
Psychiatry & Neurology (Psychiatry)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1759
STEPHEN HOUGHLAND MD
Internal Medicine
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-6510
UNIVERISTY PHYSICIAN ASSOCIATES
Surgery (Vascular Surgery)
550 S JACKSON ST, 2ND FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 562-6511
AMELIA EINFALT POWER MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-4277

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 Alex Charboneau's NPI number?

The NPI number for Alex Charboneau is 1649731068. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Alex Charboneau located?

Alex Charboneau practices at 550 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-5193.

What is Alex Charboneau's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alex Charboneau enrolled in Medicare?

Yes. Alex Charboneau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Charboneau was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.