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

Charles Thomas Hennemeyer, MD

Individual provider Diagnostic Radiology Physician · NPI 1548209539

Charles Thomas Hennemeyer, MD is a Diagnostic Radiology in San Diego, California. Graduated from Saint Louis University School of Medicine in 2001, 25 years ago. Practices with Montrose Memorial Hospital, Inc, a 149-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
25
Trained at
Saint Louis University School of Medicine
Licensed in
CA, CO
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.

See every abbreviation used in this directory →

Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 10833 Le Conte Ave, Los Angeles, CA 90095-3075 — (310) 796-6219
  • 800 S 3rd St, Montrose, CO 81401-4212 — (970) 240-7314
  • 3330 S Rio Grande Ave, Montrose, CO 81401-4847 — (970) 240-7314

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A82709 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence CDR.0004462 (CO)

Record details

NPI number1548209539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Montrose Memorial Hospital, Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in San Diego