NPIMap

Organization Active NPI

Portsmouth Community Health Center Inc

Doing business as CommuniCare Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
National Provider Identifier
1235484544
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PORTSMOUTH COMMUNITY HEALTH CENTER INC
Doing business as
CommuniCare Family Health Center
Norfolk Redevelopment and Housing
Practice address
804 Whitaker LN
Norfolk, VA 23510-3027
Phone
(757) 393-6363
Fax
(757) 397-0047
NPI assigned
Jul 24, 2012
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Michel Bile
Title
Ceo
Phone
(757) 681-2694

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

804 Whitaker LN
Norfolk, VA 23510-3027

Mailing address

1541 High St
Portsmouth, VA 23704-3209
Phone (757) 393-6363

Other names 2

  • CommuniCare Family Health Center Doing business as
  • Norfolk Redevelopment and Housing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040513001366 VA Part B Supplier - Clinic/Group Practice 1052301835 Receives reassigned benefits from 22 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portsmouth, VA; Norfolk, VA
O20121107000426 VA Part A Provider - Federally Qualified Health Center (FQHC) 1052301835 Practice locations: Norfolk, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235484544. Details of each certification follow.

Federally qualified health center certification: CCN 491920

Legal name
PORTSMOUTH COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 27, 2012
Last certification
Nov 27, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 15, 1992 in VA
Enrollment address
816 Whitaker LN
Norfolk, VA 23510-3027

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Evms Academic Phys and Surg8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul D Chidester Individual Corporate Director May 9, 2012
Delores Adams Individual Corporate DirectorConsumer May 9, 2009
Dianne a Gardner Individual Corporate DirectorMember Feb 23, 2011
Tracey Davis Individual Corporate Director Nov 1, 2012
Meera Phaltankar Individual Corporate Director Nov 1, 2012
Mary Gore Individual Corporate DirectorMember May 26, 2010
Pricilla Eison Individual Corporate DirectorVice Chair May 28, 2012
Dirkland Smith Individual Corporate DirectorMember Jul 18, 2012
Stephen Williams Individual Corporate DirectorMember May 28, 2006
Allson L Wittkamp Individual Corporate DirectorTreasurer May 23, 2007
Barbara Willis Individual Corporate DirectorExec Director Aug 5, 2003
W-2 Managing Employee Aug 5, 2003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1235484544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043209",
            "telephone_number": "757-393-6363",
            "fax_number": "757-397-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WHITAKER LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103027",
            "telephone_number": "757-393-6363",
            "fax_number": "757-397-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "BILE",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-681-2694"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommuniCare Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norfolk Redevelopment and Housing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.