Individual provider Active NPI

Charles W Marks, MD

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1184635518
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101035436 Issued in VA
Practice address
1464 Mount Pleasant Rd
Suite 16 #502
Chesapeake, VA 23322-4043
Phone
(757) 410-4580
Fax
(757) 410-4591
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101035436 VA Primary
Internal Medicine Physician 207R00000X 0101035436 VA

Addresses

Primary practice location

1464 Mount Pleasant Rd
Suite 16 #502
Chesapeake, VA 23322-4043

Mailing address

1464 Mount Pleasant Rd
Suites 13 and 14
Chesapeake, VA 23322-4043
Phone (757) 410-4580

Other identifiers 1

IdentifierTypeStateIssuer
5876150MedicaidVA

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
I20040224001210 VA Practitioner - Internal Medicine 2860388113

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101035436VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1184635518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MOUNT PLEASANT RD",
            "address_2": "SUITES 13 AND 14",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224043",
            "telephone_number": "757-410-4580",
            "fax_number": "757-410-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MOUNT PLEASANT RD",
            "address_2": "SUITE 16 #502",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224043",
            "telephone_number": "757-410-4580",
            "fax_number": "757-410-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101035436",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101035436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5876150",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.