CHARLES POHANKA IV MD
NPI 1659130169
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Q: What is Charles Pohanka's NPI number?

The NPI number for Charles Pohanka is 1659130169. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Charles Pohanka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Pohanka was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2024PECOS Enrolled

301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Charles Pohanka Iv Md NPPES

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

CHARLES POHANKA IV MD (NPI 1659130169) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659130169

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHARLES POHANKA IVCredential: MD

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3000

Phone(631) 968-3000

Sole ProprietorYes

Enumeration DateMarch 18, 2024

Last NPPES UpdateJune 30, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1659130169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

301 E MAIN ST, Bay Shore, NY 11706

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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 Pohanka 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.