NPIMap

Individual provider Active NPI

Charlene N Reyes, PA

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1730331570
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002916 Issued in VA
Practice address
5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797
Phone
(757) 483-6100
Fax
(757) 483-2203
NPI assigned
Oct 10, 2008
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002916 VA Primary

Addresses

Primary practice location

5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797

Mailing address

5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797
Phone (757) 483-6100

Other practice location 1

3009 Corporate Ln Ste 220
Suffolk, VA 23434-9344
Phone (757) 483-6100 ext. 36100

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
I20081125000816 VA Practitioner - Physician Assistant 5294895975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians
Urology of Virginia, PLLCGroup PAC ID 2062681679, 74 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Suite 101
Chesapeake, VA 23320-1713
Phone (757) 436-3285

225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 452-3599

229 Clearfield Ave
Suite 300
Virginia Beach, VA 23462-1815
Phone (757) 457-5177

3009 Corporate LN
Suite 220
Suffolk, VA 23434-9344
Phone (757) 483-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.25 of 100Reported as group
Quality
57.23
Promoting interoperability
100
Improvement activities
40
Cost
73.62

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince May 1, 2024 Accepting new patients
Urology of Virginia, PLLC CurrentSince Oct 1, 2011 Accepting new patients
Capital Digestive Care LLC CurrentSince May 1, 2024 Accepting new patients
Urology of Virginia, PLLC CurrentSince Oct 1, 2011 Accepting new patients
Capital Digestive Care ,LLC Physician Assistant Past Accepting new patients

Locations

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone (757) 483-6100

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1730331570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353797",
            "telephone_number": "757-483-6100",
            "fax_number": "757-483-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353797",
            "telephone_number": "757-483-6100",
            "fax_number": "757-483-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 Corporate Ln Ste 220",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234349344",
            "country_code": "US",
            "telephone_number": "757-483-6100 x36100",
            "fax_number": "757-483-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "CHARLENE",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.