NPIMap

Organization Active NPI

Valley Physician Enterprise, Inc.

Doing business as Valley Health Pulmonary and Sleep Specialists

  • Pulmonary Disease Physician
  • Winchester, VA
National Provider Identifier
1578021317
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
VALLEY PHYSICIAN ENTERPRISE, INC.
Doing business as
Valley Health Pulmonary and Sleep Specialists
Valley Health Winchester Pulmonary and Internal Medicine
Practice address
525 Amherst St Ste 104
Winchester, VA 22601-3881
Phone
(540) 662-4263
Fax
(540) 722-9792
NPI assigned
Mar 12, 2019
Last updated
Apr 14, 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 Apr 14, 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
Internal Medicine Physician 207R00000X NU
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

525 Amherst St Ste 104
Winchester, VA 22601-3881

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other practice location 1

190 Campus Blvd Ste 201
Winchester, VA 22601-2872
Phone (540) 536-5980

Other names 2

  • Valley Health Pulmonary and Sleep Specialists Doing business as
  • Valley Health Winchester Pulmonary and Internal 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

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1578021317",
    "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": "525 AMHERST ST STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013881",
            "telephone_number": "540-662-4263",
            "fax_number": "540-722-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Campus Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012872",
            "country_code": "US",
            "telephone_number": "540-536-5980",
            "fax_number": "540-536-5979",
            "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": "2019-03-12",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Pulmonary and Sleep Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Health Winchester Pulmonary and Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Health Winchester Pulmonary and Internal 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 Apr 14, 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.