Kenneth Grant Mason, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101035681 Issued in VA

Practice address

400 Campus Blvd Ste 220
Winchester, VA 22601-6906

Phone

(540) 536-5466

Fax

(540) 536-5475

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmason110463@soc.inova.org

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.

• Shenandoah Memorial Hospital, Inc.

  • Surgery Physician
  • Woodstock, VA
  • NPI 1407357015
  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Woodstock, VA
  • NPI 1952417735
  Medicare reassignment NPD
• Warren Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Front Royal, VA
  • NPI 1164442281
  Medicare reassignment NPD
• Winchester Medical Center

  • Critical Care Medicine (Internal Medicine) Physician
  • Winchester, VA
  • NPI 1679711261
  Medicare reassignment NPD
• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203
  Medicare reassignment
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  NPD
• Valley Physician Enterprise, Inc.

  • Surgery Physician
  • Winchester, VA
  • NPI 1891202412
  NPD
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  NPD
• Warren Memorial Hospital, Inc.

  • Obstetrics & Gynecology Physician
  • Front Royal, VA
  • NPI 1538654991

  Surgery

  NPD
• Winchester Medical Center

  • Pediatrics Physician
  • Winchester, VA
  • NPI 1013874742
  NPD
• Winchester Medical Center

  • Obstetrics & Gynecology Physician
  • Winchester, VA
  • NPI 1760433791
  NPD
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1336174705",
    "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": "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": "400 CAMPUS BLVD STE 220",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016906",
            "telephone_number": "540-536-5466",
            "fax_number": "540-536-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KENNETH",
        "middle_name": "GRANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101035681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmason110463@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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmason110463@soc.inova.org",
            "affiliation": "N",
            "address_1": "400 Campus Blvd Ste 220",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martinsburg Vamc
• Nicole Martz
• Erica Lacey Marut, LPC
• Brittany Ann Mason, RBT
• John William Mason, MA
• Sylas Mason
• Taylor H Mason, PT
• William H. Mason, DDS
• Denise L Massie, PT
• Christopher David Massonneau, PT

• Surgery Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.