NPIMap

Organization Active NPI

Valley Physician Enterprise, Inc.

Doing business as Winchester Cardiology and Vascular Medicine

  • Cardiovascular Disease Physician
  • Winchester, VA
National Provider Identifier
1366944670
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VALLEY PHYSICIAN ENTERPRISE, INC.
Doing business as
Winchester Cardiology and Vascular Medicine
Practice address
1880 Amherst Street
Winchester, VA 22601
Phone
(540) 662-0306
Fax
(855) 264-2066
NPI assigned
Mar 2, 2018
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY PHYSICIAN ENTERPRISE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Renee Nevada Johnson
Title
Credentialing Coordinator
Phone
(540) 536-0103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X VA Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X VA

Addresses

Primary practice location

1880 Amherst Street
Winchester, VA 22601

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888

Other names 1

  • Winchester Cardiology and Vascular Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000278 VA Part B Supplier - Clinic/Group Practice 9931268091 Receives reassigned benefits from 494 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, VA; Front Royal, VA; Woodstock, VA; Berryville, VA; Luray, VA; Maurertown, VA; New Market, VA; Mount Jackson, VA

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Part of
Valley Physician Enterprise

Locations

1870 Amherst St
Ste 100AND
Winchester, VA 22601
Phone (540) 662-0306

1880 Amherst St
Ste 200AND
Winchester, VA 22601

755 S Main St
Ste 102
Woodstock, VA 22664
Phone (540) 459-1262

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1366944670",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AMHERST STREET",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICIAN ENTERPRISE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY PHYSICIAN ENTERPRISE, INC.",
        "enumeration_date": "2018-03-02",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "NEVADA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "540-536-0103"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchester Cardiology and Vascular Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.