DR. CHARLES LOUIS GROOMES IV M.D.
NPI 1629330493
Pediatrics - Neonatal-Perinatal Medicine in Portsmouth, VA

Q: What is Charles Groomes's NPI number?

The NPI number for Charles Groomes is 1629330493. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Q: What is Charles Groomes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Groomes was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2012PECOS Enrolled

620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-4691 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, May 22, 2023 (2 updates tracked since 2023).

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About Dr. Charles Louis Groomes Iv M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES LOUIS GROOMES IV M.D. (NPI 1629330493) is an individual neonatal-perinatal medicine provider in Portsmouth, Virginia, licensed in Virginia (0101254907) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629330493

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. CHARLES LOUIS GROOMES IVCredential: M.D.

Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111

Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111

Phone(757) 953-4691

Sole ProprietorNo

Enumeration DateJune 8, 2012

Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1629330493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in VA · 0101254907

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 0101254907 (VA)

620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Louis Groomes Iv M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA

Nurse Anesthetist, Certified Registered

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-3238

ERIC FRANCIS SULAVA

Emergency Medicine

620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

MRS. TIFFNY KUPER RHH

Dental Hygienist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2711

DR. LAKEISHA GOODE PHARMD

Pharmacist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-7462

JASMINE WOOD MD

Surgery

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-1895

NICHOLAS FANSELOW

General Practice

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

DR. DAVID JESSEN MD

Military Health Care Provider

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2518

MRS. WILLAR MAE BAUM L.C.S.W.

Social Worker (Clinical)

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Groomes's NPI number?

The NPI number for Charles Groomes is 1629330493. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Charles Groomes located?

Charles Groomes practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-4691.

What is Charles Groomes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Charles Groomes enrolled in Medicare?

Yes. Charles Groomes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Groomes was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.