Individual provider Active NPI

Charles Frederick Lovell Jr., MD

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1174629448
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101027439 Issued in VA
Practice address
1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840
Phone
(757) 623-3038
Fax
(757) 623-0101
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101027439 VA Primary

Addresses

Primary practice location

1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840

Mailing address

1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840
Phone (757) 623-3038

Other identifiers 3

IdentifierTypeStateIssuer
006354OtherVAANTHEM BLUE CROSS BLUE SH
006074936MedicaidVA
111936953OtherMEDICARE PTAN

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
I20120514000377 VA Practitioner - Internal Medicine 3971532011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

142 W York St
Suite 905
Norfolk, VA 23510-2015
Phone (757) 623-3038

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles F. Lovell, Jr., M.D., Facp, P.C. Internal Medicine CurrentSince Jan 11, 2004 Accepting new patients

Locations

1401 Tidewater Dr
Ste 1
Norfolk, VA 23504
Phone (757) 623-0095

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1174629448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 TIDEWATER DR STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042840",
            "telephone_number": "757-623-3038",
            "fax_number": "757-623-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 TIDEWATER DR STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042840",
            "telephone_number": "757-623-3038",
            "fax_number": "757-623-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101027439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "006354",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006074936",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "111936953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.