Individual provider Active NPI

John S Pulizzi III, MD

  • Surgery Physician
  • Woodstock, VA
National Provider Identifier
1144212820
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101232102 Issued in VA
Practice address
759 S Main St Ste 200
Woodstock, VA 22664-1156
Phone
(540) 459-1383
Fax
(540) 459-1382
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101232102 VA
Surgery Physician 208600000X 0101232102 VA Primary

Addresses

Primary practice location

759 S Main St Ste 200
Woodstock, VA 22664-1156

Mailing address

PO Box 37517
Baltimore, MD 21297-3517
Phone (540) 459-1330

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jpulizzi110483@soc.inova.org
Direct Messaging Address jpulizzi110483@soc.inova.org
Direct Messaging Address jpulizzi110483@soc.inova.org

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
I20080609000022 VA Practitioner - General Surgery 5890865406 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Hahneman Medical College of the Pacific, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians
Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians

Practice addresses (Care Compare)

224 A Cornwall St NW
Suite 3.024
Leesburg, VA 20176-2701
Phone (703) 771-2837

224 B Cornwall NWST
Leesburg, VA 20176-2701

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

67 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (540) 635-0848

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101232102VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 8, 2022 Accepting new patients
Winchester Medical Center, Inc. CurrentSince Apr 13, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Apr 2, 2020 Accepting new patients
Shenandoah Memorial Hospital Inc. Surgery CurrentSince May 15, 2016 Accepting new patients
Inova Health Care Services CurrentSince Mar 8, 2022 Accepting new patients
Shenandoah Memorial Hospital, Inc. Surgery CurrentSince Mar 11, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise, Inc Specialist CurrentSince Sep 1, 2009 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Sep 1, 2009 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 15, 2016 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Apr 2, 2020 Accepting new patients
Winchester Medical Center CurrentSince Apr 13, 2020 Accepting new patients
Winchester Medical Center Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Woodstock Surgical Clinic, PLC Specialist Past Accepting new patients
Valley Physician Enterprise Inc Past Accepting new patients
Premier Trauma and Surgical Specialists LLC PastSince Feb 9, 2020 Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients

Locations

67 Riverton Commons Dr
Front Royal, VA 22630
Phone (540) 635-0848

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530

44045 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8878

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

250 Memorial Dr
#C
Luray, VA 22835
Phone (540) 743-3541

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

103 W South St
Woodstock, VA 22664
Phone (540) 409-5254

759 S Main St
Ste 200
Woodstock, VA 22664
Phone (540) 459-1354

755 S Main St
Woodstock, VA 22664
Phone (540) 459-1262

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: jpulizzi110483@valleyhealth.direct-ci.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1144212820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37517",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973517",
            "telephone_number": "540-459-1330",
            "fax_number": "540-459-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 S MAIN ST STE 200",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641156",
            "telephone_number": "540-459-1383",
            "fax_number": "540-459-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIZZI",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101232102",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101232102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpulizzi110483@soc.inova.org",
            "affiliation": "N",
            "address_1": "67 Riverton Commons Dr",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpulizzi110483@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpulizzi110483@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

Verify at the official NPI Registry.