NPIMap

Individual provider Active NPI

Waleed A. Eisa, M.D.

  • Urology Physician
  • Winchester, VA
National Provider Identifier
1295078988
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101264470 Issued in VA
Practice address
1712 Amherst St
Winchester, VA 22601-2807
Phone
(540) 667-1712
NPI assigned
Apr 1, 2013
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 30393 WV
Urology Physician 208800000X 0101264470 VA Primary

Addresses

Primary practice location

1712 Amherst St
Winchester, VA 22601-2807

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

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

Other practice location 2

3700 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1737
Phone (703) 698-1856

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address weisa@ucow.gwaydirect.com
Direct Messaging Address weisa@ucow.gwaydirect.com
Direct Messaging Address weisa@ucow.gwaydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180813002317 VA Practitioner - Urology 4587967732 Reassigns benefits to 1 organization
I20220407002710 WV Practitioner - Urology 4587967732 Reassigns benefits to 1 organization
I20230215000780 DC Practitioner - Urology 4587967732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northeastern Ohio University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

3650 Joseph Siewick Dr
Fairfax, VA 22033-1711

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30393WVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Aug 15, 2018 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince May 1, 2022 Accepting new patients
East Mountain Health Physicians, Inc. Urology CurrentSince May 1, 2022 Accepting new patients
Winchester Medical Center Current Accepting new patients
Inova Health Care Services CurrentSince Dec 19, 2022 Accepting new patients
Winchester Medical Center CurrentSince Aug 15, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Inova Health Care Services CurrentSince Dec 19, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

3650 Joseph Siewick Dr
Ste 300
Fairfax, VA 22033
Phone (703) 391-0111

3700 Joseph Siewick Dr
Ste 101
Fairfax, VA 22033
Phone (703) 698-1856

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

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

1712 Amherst St
Winchester, VA 22601
Phone (540) 667-1712

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

220 Campus Blvd
Ste 100
Winchester, VA 22601

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

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: weisa@ucow.gwaydirect.com
  • Direct secure messaging: weisa581405@soc.inova.org

Organizations & group practices 11

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 8

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1295078988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "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": "1712 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012807",
            "telephone_number": "540-667-1712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Campus Drve",
            "address_2": "221",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "25404",
            "country_code": "US",
            "telephone_number": "681-247-1280",
            "fax_number": "681-247-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Joseph Siewick Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331737",
            "country_code": "US",
            "telephone_number": "703-698-1856",
            "fax_number": "703-207-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISA",
        "first_name": "WALEED",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2024-04-30",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "30393",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101264470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "weisa@ucow.gwaydirect.com",
            "affiliation": "N",
            "address_1": "1712 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "weisa@ucow.gwaydirect.com",
            "affiliation": "N",
            "address_1": "1077 N Shenandoah Ave Ste B",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "weisa@ucow.gwaydirect.com",
            "affiliation": "N",
            "address_1": "120 Campus Drve",
            "address_2": "221",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.