NPIMap

Individual provider Active NPI

Charles K Sparrow Jr., M.D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1255339305
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101039921 Issued in VA
Practice address
2660 New Market Rd
Richmond, VA 23231-7408
Phone
(804) 795-1144
Fax
(804) 795-1052
NPI assigned
Jul 12, 2005
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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 0101039921 VA Primary

Addresses

Primary practice location

2660 New Market Rd
Richmond, VA 23231-7408

Mailing address

2660 New Market Rd
Richmond, VA 23231-7408
Phone (804) 795-1144

Other identifiers 1

IdentifierTypeStateIssuer
5670705MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000468 VA Practitioner - Family Practice 9638150915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone (804) 932-4388

2660 New Market Medical Ctr
Richmond, VA 23231-7408
Phone (804) 795-1144

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9010 Pocahontas TRL
Providence Forge, VA 23140-3400
Phone (804) 932-4388

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Oct 21, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 21, 2022 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

2660 New Market Rd
Richmond, VA 23231
Phone (804) 795-1144

Interoperability endpoints

  • Direct secure messaging: charles.sparrow.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1255339305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 NEW MARKET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232317408",
            "telephone_number": "804-795-1144",
            "fax_number": "804-795-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 NEW MARKET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232317408",
            "telephone_number": "804-795-1144",
            "fax_number": "804-795-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "CHARLES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5670705",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.