Charles George Mavros, MD
NPI 1891315016ActiveIndividual· Student in an Organized Health Care Education/Training Program· Chicago, IL
Student in an Organized Health Care Education/Training Program (MD) in Chicago, Illinois, trained at Indiana University School of Medicine (class of 2020). Medicare paid $15,523 for services to 84 patients in 2024.
Overview
| NPI | 1891315016 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 17, 2020 |
| Last updated in NPPES | Apr 17, 2020 |
| Certified by provider | Apr 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 114 across 43 procedure codes |
| Paid by Medicare | $15,523 |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Anesthesiology |
Medical group
- Lakeshore Anesthesia PCHobart, IN · 28 clinicians
Hospital affiliations
- Community HospitalMunster, IN
- St Mary Medical Center IncHobart, IN
Other facilities
- Powers Health Rehabilitation CenterInpatient rehabilitation facility · Crown Point, IN
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All 3,391 Student in an Organized Health Care Education/Training Program providers in Chicago · All Student in an Organized Health Care Education/Training Program providers in Illinois