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CHARLES IMWALLE JR. MD
NPI 1831027036
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since May 11, 2026PECOS Enrolled
3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Imwalle Jr. Md NPPES

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

CHARLES IMWALLE JR. MD (NPI 1831027036) is an individual student in an organized health care education/training program in Tampa, Florida, licensed in Florida (44740) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831027036
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES IMWALLE JR.Credential: MD
Location Address3100 E FLETCHER AVETampa, FL 33613-4613
Mailing Address3100 E Fletcher AveTampa, FL 33613-4613 · (813) 971-6000
Phone(813) 971-6000
Sole ProprietorYes
Enumeration DateMay 11, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1831027036 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
License✔ Licensed in FL · 44740
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.
3100 E FLETCHER AVE, Tampa, FL 33613
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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 Imwalle Jr. 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.

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.

ELEANOR INNOCENT DPT
Physical Therapist
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7200
TYLER CHRISTIAN MILLS DO
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
ALEXIS CREWS SA-C
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7030
JOSUE PIERRE
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
STEPHANIE RAY KING
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
DR. JONEH MARHEFKA DO
Student in an Organized Health Care Education/Training Program
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
TIMOTHY MICHAEL FABER ARNP
Nurse Practitioner
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
LARRY L LAND MD
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000

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 Charles Imwalle's NPI number?

The NPI number for Charles Imwalle is 1831027036. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Charles Imwalle located?

Charles Imwalle practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.

What is Charles Imwalle's specialty?

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

Is Charles Imwalle enrolled in Medicare?

Yes. Charles Imwalle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Imwalle was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.