Individual provider Active NPI

Cherry Bellosillo Lobaton, MD

  • Family Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1265467112
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19515 Issued in WV
Practice address
1004 Sushruta Dr
Ste D
Martinsburg, WV 25401-8898
Phone
(304) 262-2538
Fax
(304) 262-2583
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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 19515 WV Primary

Addresses

Primary practice location

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401-8898

Mailing address

220 Campus Blvd
Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other practice location 1

1000 Tavern Rd Ste 100
Martinsburg, WV 25401-2853
Phone (681) 247-1080

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address clobaton115522@soc.inova.org
Direct Messaging Address clobaton115522@soc.inova.org
Direct Messaging Address clobaton115522@soc.inova.org
Direct Messaging Address clobaton115522@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20061002000007 WV Practitioner - Family Practice 2365447075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

1008 Tavern Rd
Martinsburg, WV 25401-2801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19515WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. Family Medicine CurrentSince Jan 28, 2017 Accepting new patients
East Mountain Health Physicians Inc. Family Medicine Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Jan 28, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

1000 Tavern Rd
Ste 100
Martinsburg, WV 25401
Phone (304) 267-9355

120 Campus Dr
Ste 221
Martinsburg, WV 25404
Phone (681) 247-1280

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: clobaton115522@valleyhealth.direct-ci.com
  • Direct secure messaging: clobaton115522@soc.inova.org

Organizations & group practices 5

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 9

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1265467112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD",
            "address_2": "STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SUSHRUTA DR",
            "address_2": "STE D",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018898",
            "telephone_number": "304-262-2538",
            "fax_number": "304-262-2583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Tavern Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012853",
            "country_code": "US",
            "telephone_number": "681-247-1080",
            "fax_number": "681-247-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBATON",
        "first_name": "CHERRY",
        "middle_name": "BELLOSILLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clobaton115522@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 Tavern Rd Ste 100",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clobaton115522@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr Ste 221",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clobaton115522@soc.inova.org",
            "affiliation": "N",
            "address_1": "1004 Sushruta Dr",
            "address_2": "Ste D",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254018898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clobaton115522@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.