Active NPI
Llewellyn I Kitchin, M.D.
- Gastroenterology Physician
- Winchester, VA
National Provider Identifier
1629036330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101037396
- Practice address
- 190 Campus Blvd
Suite 300
Winchester, VA 22601-2872 - Phone
- (540) 667-1244
- Fax
- (540) 667-3086
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101037396 | VA | Primary |
Addresses
Primary practice location
190 Campus Blvd
Suite 300
Winchester, VA 22601-2872
Mailing address
190 Campus Blvd
Suite 300
Winchester, VA 22601-2872
Phone (540) 667-1244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006055508 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | winchestergi@directaddress.net |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101201000289 | VA | Practitioner - Gastroenterology | 5496641649 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Gastroenterology Associates | Gastroenterology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
190 Campus Blvd
Ste 300
Winchester, VA 22601
Phone (540) 667-1244
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Winchester, VA
- NPI 1740248525
Gastroenterology, VA
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1629036330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 CAMPUS BLVD",
"address_2": "SUITE 300",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012872",
"telephone_number": "540-667-1244",
"fax_number": "540-667-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 CAMPUS BLVD",
"address_2": "SUITE 300",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012872",
"telephone_number": "540-667-1244",
"fax_number": "540-667-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHIN",
"first_name": "LLEWELLYN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101037396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006055508",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "winchestergi@directaddress.net",
"affiliation": "N",
"address_1": "190 Campus Blvd",
"address_2": "SUITE 300",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226012872",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 10, 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.