Active NPI
John E. Jesus, M.D.
- Emergency Medicine Physician
- Fishersville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C1-0009743
- Practice address
- 78 Medical Center Dr
Department of Emergency Medicine
Fishersville, VA 22939-2332 - Phone
- (540) 332-4423
- NPI assigned
- Jan 14, 2009
- Last updated
- May 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 236103 | MA | |
| Emergency Medicine Physician | 207P00000X | C1-0009743 | DE | Primary |
Addresses
Primary practice location
78 Medical Center Dr
Department of Emergency Medicine
Fishersville, VA 22939-2332
Mailing address
785 Caitlin Dr
Crozet, VA 22932-9301
Phone (703) 937-7375
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Virginia School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236103 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Emergency Medicine Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Sussex Emergency Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
Locations
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Fishersville, VA
- NPI 1083706121
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1750369674
-
- Emergency Medicine Physician
- Lewes, DE
- NPI 1275512105
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba t/a Augusta Health
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1427295294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 CAITLIN DR",
"city": "CROZET",
"state": "VA",
"postal_code": "229329301",
"telephone_number": "703-937-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DR",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392332",
"telephone_number": "540-332-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESUS",
"first_name": "JOHN",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-14",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "236103",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C1-0009743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.