MATTHEW CHARLES MD
NPI 1689364630
Student in an Organized Health Care Education/Training Program in Royal Oak, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 12, 2023PECOS Enrolled

3601 W 13 MILE RD, ROYAL OAK, MI 48073(608) 263-8500 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2026, May 12, 2023 (2 updates tracked since 2023).

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About Matthew Charles Md NPPES

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

MATTHEW CHARLES MD (NPI 1689364630) is an individual student in an organized health care education/training program in Royal Oak, Michigan and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689364630

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW CHARLESCredential: MD

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712

Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712

Phone(608) 263-8500

Sole ProprietorNo

Enumeration DateMay 12, 2023

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1689364630 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.

3601 W 13 MILE RD, Royal Oak, MI 48073

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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)

Matthew Charles 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.