DR. ALIX CHARLES JR. MD
NPI 1720600265
General Practice in Detroit, MI

Q: What is Alix Charles's NPI number?

The NPI number for Alix Charles is 1720600265. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Q: What is Alix Charles's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Alix Charles was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 07, 2020PECOS EnrolledAccepts Medicare Assignment

4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-5147 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2024, Jun 8, 2024, Dec 8, 2023 and 1 more (4 updates tracked since 2020).

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About Dr. Alix Charles Jr. Md NPPES

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

DR. ALIX CHARLES JR. MD (NPI 1720600265) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (4501510028) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720600265

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. ALIX CHARLES JR.Credential: MD

Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St # 9cDetroit, MI 48201-2153 · (313) 745-5147

Phone(313) 745-5147

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 7, 2020

Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1720600265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4501510028

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alix Charles Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153742515

PECOS Enrollment IDI20240216002204

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.

DR. STEPHANIE NICOLE STEVENS MD

Anesthesiology