Individual provider Active NPI

Charles Marcus, MD

  • Anesthesiology Physician
  • Alexandria, VA
National Provider Identifier
1295230613
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD210002515 Issued in DC
Practice address
2501 Parkers LN
Alexandria, VA 22306-3209
Phone
(703) 664-7000
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101280294 VA
Anesthesiology Physician 207L00000X MD210002515 DC Primary

Addresses

Primary practice location

2501 Parkers LN
Alexandria, VA 22306-3209

Mailing address

300 Pasteur Dr # H3580
Stanford, CA 94305-2295
Phone (650) 723-7377

Other practice location 1

300 Pasteur Dr # H3580
Stanford, CA 94305
Phone (650) 723-7377

Other practice location 2

3722 Harlem Ave Ste Ll34
Riverside, IL 60546-2320
Phone (700) 878-3656

Other practice location 3

3722 Harlem Ave Ste Ll34
Riverside, IL 60546-2320
Phone (700) 878-3656

Other names 1

  • Charles Kimarcus Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220916000176 DC Practitioner - Anesthesiology 8820473523 Reassigns benefits to 2 organizations
I20240909004431 VA Practitioner - Anesthesiology 8820473523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

Hospital & facility affiliations

  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Oct 23, 2023 Accepting new patients
Surgical Anesthesia Associates, PLLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

Interoperability endpoints

  • Direct secure messaging: cmarcus985406@direct.hopkinsmedicine.org

Organizations & group practices 2

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 2

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1295230613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR # H3580",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052295",
            "telephone_number": "650-723-7377",
            "fax_number": "650-725-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "703-664-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr # H3580",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "94305",
            "country_code": "US",
            "telephone_number": "650-723-7377",
            "fax_number": "650-725-8544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3722 Harlem Ave Ste Ll34",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "IL",
            "postal_code": "605462320",
            "country_code": "US",
            "telephone_number": "700-878-3656",
            "fax_number": "708-783-6567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3722 Harlem Ave Ste Ll34",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "IL",
            "postal_code": "605462320",
            "country_code": "US",
            "telephone_number": "700-878-3656",
            "fax_number": "708-783-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101280294",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "MD210002515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "KIMARCUS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.