VIRGINIA BEACH FAMILY MEDICINE
NPI 1902050875
Clinic/Center - Federally Qualified Health Center (FQHC) in Virginia Beach, VA
About Virginia Beach Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIRGINIA BEACH FAMILY MEDICINE (NPI 1902050875) is a healthcare organization registered as a federally qualified health center (fqhc) in Virginia Beach, Virginia and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Angela Futrell, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Virginia Beach Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Virginia Beach Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (18)
Virginia Beach, VA 23451
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D1095204
Virginia Beach Family Medical Center · Virginia Beach, VAFrequently 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 Peninsula Institute For Community Health Inc's NPI number?
The NPI number for Peninsula Institute For Community Health Inc is 1902050875. It was assigned to this organization in the NPPES registry on November 5, 2008. The provider is doing business as Virginia Beach Family Medicine.
Where is Peninsula Institute For Community Health Inc located?
Peninsula Institute For Community Health Inc is located at 940 General Booth Blvd Suite A, Virginia Beach, VA 23451. The listed phone number is (757) 591-0643.
What is Peninsula Institute For Community Health Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Peninsula Institute For Community Health Inc enrolled in Medicare?
Yes. Peninsula Institute For Community Health Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peninsula Institute For Community Health Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Peninsula Institute For Community Health Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5), Family Practice (4) and Nurse Practitioner (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peninsula Institute For Community Health Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D1095204) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Peninsula Institute For Community Health Inc was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Virginia Beach Family Medicine · NPI 1902050875
Federally Qualified Health Center (FQHC) organization in Virginia Beach, Virginia. Organization record, active in the CMS NPPES registry since November 5, 2008.
## Identity
- **NPI:** 1902050875 (Entity type: Organization)
- **Enumerated:** November 5, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Peninsula Institute For Community Health Inc
- **Organization subpart:** No
- **Authorized official:** Angela Futrell, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 940 GENERAL BOOTH BLVD, SUITE A, Virginia Beach, VA 23451-4857
- **Phone:** (757) 591-0643 · **Fax:** (757) 928-3239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Family Practice (4), Nurse Practitioner (3); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2009
- **Other identifiers:** Medicare PIN C00908 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902050875) · Data from the CMS NPPES public registry.