DR. CHARLES LEE BIVONA (M.D.) – Anesthesiology Physician, NPI 1902899909

DR. CHARLES LEE BIVONA (M.D.) is a healthcare provider. based in Corpus christi, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. H0185 (TX). The NPI Number for DR. CHARLES LEE BIVONA (M.D.) is 1902899909

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES LEE BIVONA (M.D.)
NPI
1902899909
Phone
(361) 883-6211
Address
4455 S PADRE ISLAND DR STE 11
Enumeration Date
24 August 2005
Last Update Date
15 October 2019

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
3619932000
Graduation Year
1985 (41 years ago)
PAC ID
4688563240
Group Practice PAC ID
3173412806
Professional Enrollment ID
I20100920000818
Address ID
TX784142455CO6130XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for DR. CHARLES LEE BIVONA (M.D.)

  • South Padre Island Drive, Corpus Christi, Nueces County, Texas, 78412, United States

    CORPUS CHRISTI, TX 784115163

    Phone: (361) 883-6211

    Fax: (361) 882-4891

    Type: Mailing

  • South Texas Surgical Hospital, 6130, Parkway Drive, South Side, Corpus Christi, Nueces County, Texas, 78414, United States

    CORPUS CHRISTI, TX 784142455

    Phone: (361) 883-6211

    Fax: (361) 882-4891

    Type: Location

  • 5950 Saratoga Blvd

    Corpus Christi, TX 784144100

    Phone: (361) 883-6211

    Fax: (361) 882-4891

    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: 2010-09-20

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
I20100920000818IAnesthesiologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78411)

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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: 3173412806View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What federal number belongs to DR. CHARLES LEE BIVONA (M.D.)?
The federal identifier for DR. CHARLES LEE BIVONA (M.D.) is NPI 1902899909.
Does this profile mean DR. CHARLES LEE BIVONA (M.D.) is currently active?
Yes — DR. CHARLES LEE BIVONA (M.D.) appears active in the national provider directory.
What kind of provider is DR. CHARLES LEE BIVONA (M.D.)?
The page reflects Anesthesiology Physician for DR. CHARLES LEE BIVONA (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. CHARLES LEE BIVONA (M.D.)'s primary listing?
We display Corpus Christi, Texas because that is what the record indicates for DR. CHARLES LEE BIVONA (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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