Individual provider Active NPI

Barry Kent Diduch, MD

  • Family Medicine Physician
  • Fishersville, VA
National Provider Identifier
1023095924
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101-052714 Issued in VA
Practice address
78 Medical Center Drive
Heart & Vascular 2ND Floor
Fishersville, VA 22939-2332
Phone
(540) 332-5595
Fax
(540) 332-5596
NPI assigned
Dec 30, 2005
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 0101-052714 VA Primary

Addresses

Primary practice location

78 Medical Center Drive
Heart & Vascular 2ND Floor
Fishersville, VA 22939-2332

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5162

Other practice location 1

851 Statler Blvd
Staunton, VA 24401
Phone (540) 245-7470

Other identifiers 1

IdentifierTypeStateIssuer
005625246MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barry.diduch.1@14718.direct.athenahealth.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
I20060324000636 VA Practitioner - Family Practice 2961410493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

851 Statler Blvd
Suite B
Staunton, VA 24401-4894
Phone (540) 245-7470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-052714VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Aug 1, 2018 Accepting new patients
Augusta Medical Group CurrentSince Aug 1, 2018 Accepting new patients
Augusta Health Care, Inc Past Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fl 2
Fishersville, VA 22939
Phone (540) 245-7080

851 Statler Blvd
Ste B
Staunton, VA 24401
Phone (540) 245-7470

2570 Stuarts Draft Hwy
Ste 100
Stuarts Draft, VA 24477
Phone (540) 245-7800

201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950

201 Lew Dewitt Blvd
Ste A
Waynesboro, VA 22980
Phone (540) 245-7940

1140 Keezletown Rd
Weyers Cave, VA 24486
Phone (540) 453-0040

Interoperability endpoints

  • Direct secure messaging: barry.diduch.1@14718.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 3

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 4

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1023095924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5162",
            "fax_number": "540-932-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DRIVE",
            "address_2": "HEART & VASCULAR 2ND FLOOR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392332",
            "telephone_number": "540-332-5595",
            "fax_number": "540-332-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Statler Blvd",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "24401",
            "country_code": "US",
            "telephone_number": "540-245-7470",
            "fax_number": "540-245-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDUCH",
        "first_name": "BARRY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101-052714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005625246",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barry.diduch.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "78 Medical Center Drive",
            "address_2": "Heart & Vascular 2nd Floor",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.