Individual provider Active NPI

John Phillips Lynes

  • Neurological Surgery Physician
  • Washington, DC
National Provider Identifier
1225456403
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD045634 Issued in DC
Practice address
3800 Reservoir Rd NW
Dept of Neurosurgery
Washington, DC 20007-2113
Phone
(202) 444-4972
Fax
(202) 444-7344
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0101275884 VA
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X MD045634 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Dept of Neurosurgery
Washington, DC 20007-2113

Mailing address

3800 Reservoir Rd NW
Dept of Neurosurgery
Washington, DC 20007-2113
Phone (202) 444-4972

Other practice location 1

12825 Minnieville Rd Ste 202
Lake Ridge, VA 22192-3602
Phone (703) 523-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220624000220 DC Practitioner - Neurosurgery 5193104933 Reassigns benefits to 2 organizations
I20221229001389 VA Practitioner - Neurosurgery 5193104933 Reassigns benefits to 3 organizations
I20230218000070 MD Practitioner - Neurosurgery 5193104933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

12825 Minnieville Rd
Suite 202
Lake Ridge, VA 22192-3602
Phone (703) 523-9870

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

Hospital & facility affiliations

  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion17
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045634DCMDNeurological Surgery Physician
0101275884VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jan 30, 2023 Accepting new patients
MGMC LLC CurrentSince Jul 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 7, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 7, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 7, 2025 Accepting new patients
Medstar Georgetown Medical Center, Inc Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

130 Hospital Rd
Ste 101
Prnc Frederck, MD 20678
Phone (410) 535-2500

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800

12825 Minnieville Rd
Ste 202
Woodbridge, VA 22192
Phone (703) 523-9870

Organizations & group practices 8

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.

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1225456403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "DEPT OF NEUROSURGERY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-4972",
            "fax_number": "202-444-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "DEPT OF NEUROSURGERY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-4972",
            "fax_number": "202-444-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12825 Minnieville Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lake Ridge",
            "state": "VA",
            "postal_code": "221923602",
            "country_code": "US",
            "telephone_number": "703-523-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNES",
        "first_name": "JOHN",
        "middle_name": "PHILLIPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101275884",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "DC",
            "license": "MD045634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.