Individual provider Active NPI

Charles Leeman Dennis Sifton, M.D.

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1104817188
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101057273 Issued in VA
Practice address
1405 Kiln Creek Pkwy
Newport News, VA 23602-9700
Phone
(757) 872-7200
Fax
(757) 872-8850
NPI assigned
Oct 31, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0101057273 VA Primary

Addresses

Primary practice location

1405 Kiln Creek Pkwy
Newport News, VA 23602-9700

Mailing address

101 Abigail LN
Williamsburg, VA 23185-6506
Phone (757) 565-3962

Other identifiers 3

IdentifierTypeStateIssuer
136927OtherANTHEM - KILN CREEK OFFIC
136888OtherANTHEM - HIDENWOOD OFFICE
0100065402OtherMEDICAID KILN CREEK OFFIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Emergency Physicians LLP Past Accepting new patients
Virginia Emergency Physicians LLP Past Accepting new patients
James River Family Practice, LLC Family Medicine Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104817188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ABIGAIL LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856506",
            "telephone_number": "757-565-3962",
            "fax_number": "757-565-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 KILN CREEK PKWY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029700",
            "telephone_number": "757-872-7200",
            "fax_number": "757-872-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFTON",
        "first_name": "CHARLES",
        "middle_name": "LEEMAN DENNIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101057273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - KILN CREEK OFFIC",
            "identifier": "136927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - HIDENWOOD OFFICE",
            "identifier": "136888",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KILN CREEK OFFIC",
            "identifier": "0100065402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.