Individual provider Active NPI

Charles Chandler Ashby Jr., MD

  • Cardiovascular Disease Physician
  • Chesapeake, VA
National Provider Identifier
1528038817
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101032057 Issued in VA
Practice address
111 Medical Pkwy FL 2
Chesapeake, VA 23320-0302
Phone
(757) 312-4047
Fax
(757) 410-0339
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101032057 VA Primary

Addresses

Primary practice location

111 Medical Pkwy FL 2
Chesapeake, VA 23320-0302

Mailing address

PO Box 11314
Belfast, ME 04915-4004
Phone (757) 842-4481

Other practice location 1

648 Grassfield Pkwy Ste 1
Chesapeake, VA 23322-7465
Phone (757) 312-4047

Other practice location 2

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-4047

Other practice location 3

5116 N Croatan Hwy
Kitty Hawk, NC 27949-3988
Phone (757) 312-4047

Other practice location 4

100 Plank Bridge Rd
Camden, NC 27921-2792
Phone (757) 312-4047

Other identifiers 18

IdentifierTypeStateIssuer
PAROtherVAVIRGINIA PREMIER HEALTH
PAROtherVAMULTIPLAN
PAROtherVACIGNA
PAROtherVAFIRST HEALTH
006034128MedicaidVA
890501FMedicaidNC
PAROtherVAUSA MANAGED CARE
PAROtherVAAETNA
0501FOtherNCNC BC/BS
15792OtherVASENTARA OHP/SHP
250364OtherVAANTHEM BC/BS VA HK
332291OtherVAANTHEM BCBS
PAROtherVAVA HEALTHNETWORK/PHCS
-001OtherVACHAMPUS/TRICARE
006023151MedicaidVA
15954OtherVAOPTIMA/SENTARA
263654OtherVAUNITED HEALTHCARE/MAMSI
PAROtherVACORVEL/CORCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20070205000517 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8628070661 Reassigns benefits to 2 organizations
I20200521001361 NC Practitioner - Cardiovascular Disease (Cardiology) 8628070661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

111 Medical Pkwy
FL 2
Chesapeake, VA 23320-0302
Phone (757) 312-4047

1138 N Rd St
Elizabeth City, NC 27909-3353
Phone (252) 335-4890

300 Medical Pkwy
Chesapeake, VA 23320-4985

534 Caratoke Hwy
Moyock, NC 27958-8740
Phone (252) 435-6621

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102

744 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-3132

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101032057VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince May 1, 2020 Accepting new patients
Bayview Physician Services, PC Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Bayview Physician Services, PC CurrentSince Jan 1, 2015 Accepting new patients
Chesapeake Regional Medical Group CurrentSince May 1, 2020 Accepting new patients
Chesapeake Regional Medical Group CurrentSince May 1, 2020 Accepting new patients
Cardiovascular Assoc LTD Cardiovascular Disease Past Accepting new patients

Locations

5116 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 255-5234

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

111 Medical Pkwy
Fl 2
Chesapeake, VA 23320
Phone (757) 312-4047

612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

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

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797

400 W Brambleton Ave
Ste 201
Norfolk, VA 23510
Phone (757) 623-3800

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300

Interoperability endpoints

  • Direct secure messaging: charles.ashby.1@5072.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1528038817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11314",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154004",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PKWY FL 2",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200302",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Grassfield Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227465",
            "country_code": "US",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Battlefield Blvd N",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204941",
            "country_code": "US",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5116 N Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493988",
            "country_code": "US",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Plank Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NC",
            "postal_code": "279212792",
            "country_code": "US",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "CHARLES",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101032057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006034128",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890501F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BC/BS",
            "identifier": "0501F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OHP/SHP",
            "identifier": "15792",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS VA HK",
            "identifier": "250364",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "332291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTHNETWORK/PHCS",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "-001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006023151",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "15954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE/MAMSI",
            "identifier": "263654",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.