CHARLES ROBERT PETTIT M.D. NPI 1326183583

NPI Information

  • NPI: 1326183583
  • Provider Name: CHARLES ROBERT PETTIT, M.D.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 181 ANDRIEUX ST STE 106
    SONOMA, CA
    ZIP 95476
  • Phone: (707) 931-6485

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NPI Details

Charles Robert Pettit, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Sonoma, CA with 58 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Charles Robert Pettit, M.D. NPI is 1326183583. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:1968

The provider's business location address is:

181 ANDRIEUX ST STE 106
SONOMA, CA
ZIP 95476-920
Phone: (707) 931-6485
Fax: (707) 581-1766

The NPI 1326183583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Diagnostic exam of voice box using an endoscope (HCPCS:31525)
  • Complex control of nose bleed (HCPCS:30903)
  • Removal of foreign body in ear canal (HCPCS:69200)
  • Complex removal of skin debris and drainage of mastoid cavity (HCPCS:69222)

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryA235594CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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