Individual provider Active NPI

Michael George Charles, M.D.

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1013982388
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101040418 Issued in VA
Practice address
3745 Holland Rd Ste 200
Virginia Beach, VA 23452-2866
Phone
(757) 395-1700
Fax
(757) 507-9004
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101040418 VA Primary

Addresses

Primary practice location

3745 Holland Rd Ste 200
Virginia Beach, VA 23452-2866

Mailing address

3745 Holland Rd Ste 200
Virginia Beach, VA 23452-2866
Phone (757) 395-1700

Other identifiers 1

IdentifierTypeStateIssuer
005610931MedicaidVA

Other names 1

  • Michael G Charles Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000085 VA Practitioner - Family Practice 3577543081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

3745 Holland Rd
Virginia Beach, VA 23452-2847
Phone (757) 395-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101040418VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Health Plan Family Medicine CurrentSince Jan 17, 2023 Accepting new patients
Optima Health Plan Family Medicine CurrentSince Jan 17, 2023 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Feb 22, 1995 Accepting new patients
Sentara Medical Group Family Medicine Past Accepting new patients

Locations

855 Lucas Creek Rd
Newport News, VA 23608
Phone (757) 886-7755

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

18 Dahlgren Ave
Portsmouth, VA 23702
Phone (757) 271-4090

3745 Holland Rd
Virginia Beach, VA 23452
Phone (757) 395-1700

1950 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0305

3745 Holland Rd
Ste 200
Virginia Beach, VA 23452
Phone (757) 395-1700

Interoperability endpoints

  • Direct secure messaging: mcharles22309@direct.sentara.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1013982388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 HOLLAND RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522866",
            "telephone_number": "757-395-1700",
            "fax_number": "757-507-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 HOLLAND RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522866",
            "telephone_number": "757-395-1700",
            "fax_number": "757-507-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101040418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005610931",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "CHARLES",
            "middle_name": "G",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.