NPIMap

Organization Active NPI

Valley Physician Enterprise, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Winchester, VA
National Provider Identifier
1477105153
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
VALLEY PHYSICIAN ENTERPRISE, INC.
Practice address
190 Campus Blvd Ste 410
Winchester, VA 22601-2872
Phone
(540) 450-2339
Fax
(540) 450-2333
NPI assigned
Jul 12, 2019
Last updated
Sep 6, 2024By 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 Sep 6, 2024

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

Authorized official

Name
Jill Chambers
Title
Manager Insurance Credentialing
Phone
(540) 536-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary
Physical Medicine & Rehabilitation Physician 208100000X

Addresses

Primary practice location

190 Campus Blvd Ste 410
Winchester, VA 22601-2872

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

1818 Amherst St Ste 201
Winchester, VA 22601-2808
Phone (540) 450-2339

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 Health Orthopaedic Trauma

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1477105153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD STE 410",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-450-2339",
            "fax_number": "540-450-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Amherst St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-450-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY PHYSICIAN ENTERPRISE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY PHYSICIAN ENTERPRISE, INC.",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER INSURANCE CREDENTIALING",
        "authorized_official_telephone_number": "540-536-5100"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 6, 2024; 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.