Individual provider Active NPI

Charles A Middelhof, M.D.

  • Family Medicine Physician
  • Stephens City, VA
National Provider Identifier
1750586236
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101239873 Issued in VA
Practice address
640 Warrior Dr
Suite 109
Stephens City, VA 22655-4076
Phone
(540) 868-2511
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101239873 VA Primary

Addresses

Primary practice location

640 Warrior Dr
Suite 109
Stephens City, VA 22655-4076

Mailing address

426 Albin Dr
Stephens City, VA 22655-5946
Phone (540) 247-7299

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
I20080505000348 VA Practitioner - Family Practice 6709965650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

640 Warrior Dr
Suite 109
Stephens City, VA 22655-2707
Phone (540) 868-2511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sucteck, Inc Family Medicine CurrentSince Mar 1, 2008 Accepting new patients
Winchester Community Mental Health Center, Inc. CurrentSince Sep 24, 2020 Accepting new patients

Locations

640 Warrior Dr
Ste 109
Stephens City, VA 22655
Phone (540) 247-7294

36 Ricketts Dr
Winchester, VA 22601
Phone (540) 535-1112

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1750586236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 ALBIN DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226555946",
            "telephone_number": "540-247-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WARRIOR DR",
            "address_2": "SUITE 109",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554076",
            "telephone_number": "540-868-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDELHOF",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

Verify at the official NPI Registry.