Individual provider Active NPI

Charles C Yue, MD

  • Anesthesiology Physician
  • Greenville, NC
National Provider Identifier
1275536112
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101237867 Issued in VA
Practice address
2430 Emerald PL Ste 201
Greenville, NC 27834-5743
Phone
(252) 752-2140
Fax
(252) 565-8463
NPI assigned
May 24, 2005
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101237867 VA Primary

Addresses

Primary practice location

2430 Emerald PL Ste 201
Greenville, NC 27834-5743

Mailing address

2430 Emerald PL Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140

Other identifiers 5

IdentifierTypeStateIssuer
94176OtherVAOPTIMA SENTARA
010145198MedicaidVA
067TWOtherNCBC BS OF NORTH CAROLINA
5900822MedicaidNC
176951OtherVAANTHEM OF VIRGINIA

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
I20050422000779 VA Practitioner - Anesthesiology 1355389982 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Duke University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

229 Clearfield Ave
Suite 200
Virginia Beach, VA 23462-1815
Phone (757) 312-6300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Sep 15, 2022 Accepting new patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Dec 14, 2025 Accepting new patients
Virginia Anesthesia Services LLC Anesthesiology CurrentSince Jul 2, 2021 Accepting new patients

Locations

2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

1806 Summit Ave
Ste 300
Richmond, VA 23230
Phone (804) 315-3771

1037 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 491-3535

229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1275536112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 EMERALD PL STE 201",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345743",
            "telephone_number": "252-752-2140",
            "fax_number": "252-565-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 EMERALD PL STE 201",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345743",
            "telephone_number": "252-752-2140",
            "fax_number": "252-565-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUE",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101237867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA SENTARA",
            "identifier": "94176",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010145198",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NORTH CAROLINA",
            "identifier": "067TW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900822",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF VIRGINIA",
            "identifier": "176951",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.