Individual provider Active NPI

Charles Raymond Fencil, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1679199517
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0029863 Issued in DE
Practice address
1401 Foulk Rd Ste 100B
Wilmington, DE 19803-2764
Phone
(302) 477-3300
Fax
(302) 477-3168
NPI assigned
Jun 16, 2020
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0029863 DE Primary
Family Medicine Physician 207Q00000X 0101273412 VA
Family Medicine Physician 207Q00000X MD496467 PA

Addresses

Primary practice location

1401 Foulk Rd Ste 100B
Wilmington, DE 19803-2764

Mailing address

1401 Foulk Rd Ste 100B
Wilmington, DE 19803-2764
Phone (302) 477-3300

Other practice location 1

161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (610) 361-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20231109001829 DC Practitioner - Family Practice 4789008905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

3650 Joseph Siewick Dr
Suite 400
Fairfax, VA 22033-1715
Phone (703) 391-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0029863DEMDFamily Medicine Physician
MD496467PAMDFamily Medicine Physician
0101273412VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Sep 18, 2023 Accepting new patients
Inova Health Care Services CurrentSince Sep 18, 2023 Accepting new patients
Inova Health Care Services CurrentSince Sep 18, 2023 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3650 Joseph Siewick Dr
Ste 101
Fairfax, VA 22033
Phone (703) 391-0900

3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

Interoperability endpoints

  • Direct secure messaging: cfencil705390@soc.inova.org

Organizations & group practices 4

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 4

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1679199517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD STE 100B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032764",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD STE 100B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032764",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Wilmington W Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Chadds Ford",
            "state": "PA",
            "postal_code": "193179041",
            "country_code": "US",
            "telephone_number": "610-361-1060",
            "fax_number": "610-361-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENCIL",
        "first_name": "CHARLES",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0029863",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101273412",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD496467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.