Individual provider Active NPI

John W. Hyslop, M.D.

  • Surgery Physician
  • North Chesterfield, VA
National Provider Identifier
1023095718
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101-032350 Issued in VA
Practice address
1051 Johnston Willis Dr
St. 200
North Chesterfield, VA 23235-4871
Phone
(804) 320-2705
Fax
(804) 330-2433
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101032350 VA
Vascular Surgery Physician 2086S0129X 0101-032350 VA
Vascular Surgery Physician 2086S0129X 0101032350 VA
Surgery Physician 208600000X 0101-032350 VA Primary

Addresses

Primary practice location

1051 Johnston Willis Dr
St. 200
North Chesterfield, VA 23235-4871

Mailing address

1051 Johnston Willis Dr
St. 200
North Chesterfield, VA 23235-4871
Phone (804) 320-2705

Other identifiers 1

IdentifierTypeStateIssuer
7364253MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOHN.HYSLOP@hca6.eclinicaldirectplus.com

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
I20100415000823 VA Practitioner - General Surgery 8729115126

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
73.52
Promoting interoperability
99
Improvement activities
40
Cost
75.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101032350VAMDSurgery Physician
0101-032350VAMDVascular Surgery Physician

Interoperability endpoints

  • Direct secure messaging: john.hyslop@hca6.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1023095718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 JOHNSTON WILLIS DR",
            "address_2": "ST. 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354871",
            "telephone_number": "804-320-2705",
            "fax_number": "804-330-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNSTON WILLIS DR",
            "address_2": "ST. 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354871",
            "telephone_number": "804-320-2705",
            "fax_number": "804-330-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSLOP",
        "first_name": "JOHN",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101032350",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101-032350",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101032350",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101-032350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7364253",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHN.HYSLOP@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1051 Johnston Willis Dr",
            "address_2": "ST. 200",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232354871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.