CHARLES MIMKEN MD
NPI 1750735684
Internal Medicine in New York, NY

Q: What is Charles Mimken's NPI number?

The NPI number for Charles Mimken is 1750735684. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Q: What is Charles Mimken's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mimken was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 18, 2016PECOS EnrolledAccepts Medicare Assignment

226 W 14TH ST, NEW YORK, NY 10011(212) 604-1800 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2021, Dec 9, 2020, Mar 19, 2019 (3 updates tracked since 2019).

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About Charles Mimken Md NPPES

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

CHARLES MIMKEN MD (NPI 1750735684) is an individual internal medicine provider in New York, New York, licensed in New York (297395) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of New York Medical College (2016).

NPPES Registry Identity

NPI1750735684

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCHARLES MIMKENCredential: MD

Location Address226 W 14TH STNew York, NY 10011-7201

Mailing Address226 W 14th StNew York, NY 10011-7201

Phone(212) 604-1800

Sole ProprietorYes

Medical School CMSNew York Medical CollegeGraduated 2016

Enumeration DateApril 18, 2016

Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration

NPPES CertifiedNovember 17, 2021

✔ NPI 1750735684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 297395

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

226 W 14TH ST, New York, NY 10011

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Mimken 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 ID6406192772

PECOS Enrollment IDI20200715002975

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Mimken reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai

Same address

Internal Medicine

222 WEST 14TH STREET
New York, NY 10011

Reassigned Medicare billing, New York enrollment
309 clinicians in this Medicare group

NPI 1568841930 (212) 604-1800

Rochester General Hospital

235 mi

Internal Medicine

6692 MIDDLE RD
Sodus, NY 14551

Reassigned Medicare billing, New York enrollment
2,285 clinicians in this Medicare group

NPI 1821163718 (315) 483-9135

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

148 services86 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

39 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HARVEEN SINGH MD

Family Medicine