CHARLES D. NICOLAIS M.D. – NPI #1649533746
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

CHARLES NICOLAIS is a physician located in FAYETTEVILLE, NY. NPPES has assigned the NPI number 1649533746 to CHARLES NICOLAIS on June 22, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 3 years ago on Apr 17, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES NICOLAIS below.

NPI Profile for
CHARLES D. NICOLAIS

NPI Number
1649533746
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES D. NICOLAIS
Credentials
M.D.
Primary location
4000 MEDICAL CENTER DRIVE
FAYETTEVILLE, NY 13202
Phone: (315) 744-1570 Fax: (315) 744-1940
Mailing address
4000 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Phone: (315) 744-1570 Fax: (315) 744-1940
Sole Proprietor
No
Updated
Certification Date
Apr 11, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 NY 308533-01
207RC0000X
- Internal Medicine / Cardiovascular Disease		 NY 308533-01
207R00000X
- Internal Medicine		 PA MD454351

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHARLES NICOLAIS is affiliated with the following medical group(s):
  • HOSPITAL
    • AUBURN COMMUNITY HOSPITAL
      17 LANSING STREET
      AUBURN, NY 13021
    • GUTHRIE CORTLAND REGIONAL MEDICAL CENTER
      134 HOMER AVENUE
      CORTLAND, NY 13045
    • OSWEGO HOSPITAL
      110 WEST SIXTH STREET
      OSWEGO, NY 13126
    • ST JOSEPH'S HOSPITAL HEALTH CENTER
      301 PROSPECT AVENUE
      SYRACUSE, NY 13203

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