Individual provider Active NPI

Elizabeth Ashley Draper, D.O.

  • Internal Medicine Physician
  • Woodlawn, VA
National Provider Identifier
1164780102
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102204200 Issued in VA
Practice address
5261 Carrollton Pike Ste F
Woodlawn, VA 24381-3034
Phone
(276) 601-6197
NPI assigned
Apr 27, 2012
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102204200 VA Primary

Addresses

Primary practice location

5261 Carrollton Pike Ste F
Woodlawn, VA 24381-3034

Mailing address

90 Southside Ave Ste 350
Asheville, NC 28801-4184

Other names 1

  • Elizabeth Ashley Shaw Former name

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
I20151026002155 VA Practitioner - Internal Medicine 0446575716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friendship Physician Clinic IncGroup PAC ID 2567874571, 8 clinicians

Practice addresses (Care Compare)

391 Hershberger Rd
Roanoke, VA 24012-1983
Phone (540) 265-2087

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Friendship Physician Clinic Inc CurrentSince Jan 5, 2026 Accepting new patients
Universal Health Corporation Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Inpatient Consultants of North Carolina, PC Internal Medicine Past Accepting new patients

Locations

391 Hershberger Rd
Roanoke, VA 24012
Phone (540) 265-2087

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

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 2

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1164780102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE STE 350",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE STE F",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813034",
            "telephone_number": "276-601-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SHAW",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodlawn, VA

Sources for this page

Verify at the official NPI Registry.