CHARLES S DUVALL (AA) – Anesthesiologist Assistant, NPI 1407878770

CHARLES S DUVALL (AA) is a healthcare provider. based in Shaker heights, Ohio. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. 67-000109 (OH). The NPI Number for CHARLES S DUVALL (AA) is 1407878770

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES S DUVALL (AA)
NPI
1407878770
Phone
(216) 286-6260
Address
3605 WARRENSVILLE CENTER RD
Enumeration Date
24 July 2006
Last Update Date
12 May 2008

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
2168441000
Graduation Year
2004 (22 years ago)
PAC ID
1254392681
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20050125000017
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

424 ANESTHESIOLOGY ASSISTANT in OH

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Provider Addresses for CHARLES S DUVALL (AA)

  • 3605, Warrensville Center Road, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    SHAKER HEIGHTS, OH 441225203

    Phone: (216) 286-6260

    Fax: (216) 286-6341

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-7330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050125000017IAnesthesiology AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery5248$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

Can I verify CHARLES S DUVALL (AA) with an NPI only?
You can start verification with NPI 1407878770 for CHARLES S DUVALL (AA), then check state licensing separately.
Can I rely on CHARLES S DUVALL (AA) being an active provider?
As of the registry snapshot, CHARLES S DUVALL (AA) is marked active.
What is CHARLES S DUVALL (AA) best known for clinically?
Directory data describes CHARLES S DUVALL (AA) with Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect CHARLES S DUVALL (AA) on a map?
Expect Shaker Heights, Ohio as a primary anchor for CHARLES S DUVALL (AA) unless the record lists multiple sites.
Why does CHARLES S DUVALL (AA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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