DR. CHARLES D NICOLAIS M.D. NPI 1649533746

NPI Information

  • NPI: 1649533746
  • Provider Name: DR. CHARLES D NICOLAIS, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4000 MEDICAL CENTER DRIVE
    FAYETTEVILLE, NY
    ZIP 13202
  • Phone: (315) 744-1570

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NPI Details

DR. Charles D Nicolais, M.D. is an interventional cardiology internal medicine in Fayetteville, NY with 13 years of experience. The provider is 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. DR. Charles D Nicolais, M.D. NPI is 1649533746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

4000 MEDICAL CENTER DRIVE
FAYETTEVILLE, NY
ZIP 13202
Phone: (315) 744-1570
Fax: (315) 744-1940

The NPI 1649533746 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
  • Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel (HCPCS:92941)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 6/22/2012 and was last updated on 4/17/2023.

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
1207R00000XInternal MedicineMD454351PENNSYLVANIANo
2207R00000XInternal Medicine308533-01NEW YORKNo
3207RC0000XInternal MedicineCardiovascular Disease308533-01NEW YORKNo
4207RI0011XInternal MedicineInterventional Cardiology308533-01NEW YORKYes

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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