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Deactivated NPI 1164421145 Deactivated / Inactive NPI Male Practitioner

Dr. Charles A. Shooks , MD

Internal Medicine • Willimantic, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Shooks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2005
NPI Deactivation Date November 15, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Shooks, MD was a registered Internal Medicine practicing in Willimantic, CT. Throughout an active medical career spanning 19 years, Dr. Shooks provided care at the practice location at 90 QUARRY ST until profile deactivation on 2024-11-15.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility visit, nursing facility discharge management, more than. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

90 Quarry St

Willimantic, CT 062261225

Telephone 8604562246
Fax 8604501660
Associated Practice Facility / Clinic
🏢 Windham Cardiology, P.c. Facility NPI 1467403808

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Willimantic, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 30.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Willimantic, CT (2753 Statewide)

Telehealth Adoption Rate
17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
631 101 $90.00 $69.98
99306 Initial nursing facility visit, typically 45 minutes per day
105 86 $190.00 $166.93
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
69 47 $70.00 $44.76
99316 Nursing facility discharge management, more than 30 minutes
56 55 $145.00 $106.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
56 42 $115.00 $92.33
99318 Nursing facility annual assessment, typically 30 minutes
25 25 $155.00 $96.56

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 1168244

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Edward Sawicki , MD

Internal Medicine

NPI 1013916097

Doctor of Medicine (M.D.)

Dr. Victorio Te , MD

Internal Medicine

NPI 1316918089

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 15, 2024

Record deactivated on November 15, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 90 QUARRY ST, WILLIMANTIC, CT 062261225 (Tel: 8604562246)

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Updated Business Mailing Address July 08, 2007

Registered at 90 QUARRY ST, WILLIMANTIC, CT 062261225 (Tel: 8604562246)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES SHOOKS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #1168244 in CT)

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Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164421145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2005
Last Update: July 08, 2007
Deactivation Date: November 15, 2024

Mailing Address

90 Quarry St

Willimantic, CT 062261225

Phone: 8604562246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.