Individual provider Active NPI

Kamal A Chantal, PA-C

  • Physician Assistant
  • Lynchburg, VA
National Provider Identifier
1104817568
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002238 Issued in VA
Practice address
101 Candlewood CT
Lynchburg, VA 24502-2654
Phone
(434) 363-4190
Fax
(434) 363-4191
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002238 VA Primary

Addresses

Primary practice location

101 Candlewood CT
Lynchburg, VA 24502-2654

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

300 E 3rd St
Farmville, VA 23901-1510
Phone (434) 607-4599

Other practice location 2

1380 American Way Unit D
Bedford, VA 24523-2940
Phone (540) 583-7114

Other practice location 3

278 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 759-7500

Other identifiers 1

IdentifierTypeStateIssuer
1104817568MedicaidVA

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address Kamal.Chantal@forefrontdermatology.emadirect.md
Direct Messaging Address Kamal.Chantal@forefrontdermatology.emadirect.md
Direct Messaging Address Kamal.Chantal@forefrontdermatology.emadirect.md
Direct Messaging Address Kamal.Chantal@forefrontdermatology.emadirect.md
Direct Messaging Address Kamal.Chantal@forefrontdermatology.emadirect.md

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000673 VA Practitioner - Physician Assistant 2365419926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

101 Candlewood CT
Lynchburg, VA 24502-2654
Phone (434) 363-4190

278 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 759-7500

300 E 3Rd St
Farmville, VA 23901-1510
Phone (434) 607-4599

5201 Hickory Park Dr
Suite a
Glen Allen, VA 23059-2623
Phone (804) 262-6060

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Aug 11, 2020 Accepting new patients
Forefront Dermatology SC CurrentSince Aug 11, 2020 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Thomas S Eagan MD PC PastSince Feb 1, 1994 Accepting new patients
Orthovirginia, Inc. Physician Assistant Past Accepting new patients

Locations

300 E 3rd St
Farmville, VA 23901
Phone (434) 607-4599

300 Enterprise Dr
Ste E
Forest, VA 24551
Phone (434) 316-7007

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

278 Westlake Rd
Hardy, VA 24101
Phone (540) 759-7500

101 Candlewood Ct
#A
Lynchburg, VA 24502

101 Candlewood Ct
Lynchburg, VA 24502
Phone (434) 363-4190

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: kamal.chantal@forefrontdermatology.emadirect.md

Organizations & group practices 6

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1104817568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CANDLEWOOD CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022654",
            "telephone_number": "434-363-4190",
            "fax_number": "434-363-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011510",
            "country_code": "US",
            "telephone_number": "434-607-4599",
            "fax_number": "434-956-3786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 AMERICAN WAY UNIT D",
            "address_purpose": "LOCATION",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232940",
            "country_code": "US",
            "telephone_number": "540-583-7114",
            "fax_number": "540-583-7112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Westlake Rd",
            "address_purpose": "LOCATION",
            "city": "Hardy",
            "state": "VA",
            "postal_code": "241013967",
            "country_code": "US",
            "telephone_number": "540-759-7500",
            "fax_number": "540-759-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANTAL",
        "first_name": "KAMAL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104817568",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kamal.Chantal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1380 AMERICAN WAY UNIT D",
            "city": "BEDFORD",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245232940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kamal.Chantal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "300 E 3rd St",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kamal.Chantal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "101 Candlewood Ct",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245022654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kamal.Chantal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "300 Enterprise Dr Ste E",
            "city": "Forest",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245512732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kamal.Chantal@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "278 Westlake Rd",
            "city": "Hardy",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241013967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.