Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles S Modlin, MD

Individual provider Urology Physician · NPI 1578527891

Charles S Modlin, MD is an Urology in Lafayette, Indiana. Qualified in 1987, 39 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
39
Licensed in
IN, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 448-7619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Metrohealth Dr, Cleveland, OH 44109-1900 — (216) 778-7800

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 01067902A (IN)
Urology Physician Taxonomy 208800000X · Licence 35064578M (OH)

Record details

NPI number1578527891
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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