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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255940417

Stacey Charles, MD is a Family Practice in Indianapolis, Indiana. Qualified in 2019, 7 years ago. Practices with The Health and Hospital Corporation of Marion County, a 241-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
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

720 Eskenazi Ave Fl 2
Indianapolis, IN 46202-5189
Phone: (317) 880-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1040 Wishard Blvd, Indianapolis, IN 46202-2872 — (317) 962-8893

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01090538A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255940417
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Health And Hospital Corporation Of Marion County — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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