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

Dr. Charles L Ludivico, MD

Individual provider Rheumatology Physician · NPI 1750439147

Dr. Charles L Ludivico, MD is a Rheumatology in Fountain Hill, Pennsylvania. Graduated from Temple University School of Medicine in 1973, 53 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
53
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2007
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

701 Ostrum St Ste 302
Fountain Hill, PA 18015-1152
Phone: (610) 868-1336
Fax: (610) 332-2436
Show map & directions

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

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence MD012628E (PA)

Record details

NPI number1750439147
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 20, 2019

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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