Individual provider Active NPI

Jessica Panteha Abedi Byrd, M.D.

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1639175391
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101057879 Issued in VA
Practice address
611 E Jubal Early Dr
Winchester, VA 22601-5178
Phone
(540) 536-5500
Fax
(540) 536-5507
NPI assigned
Jun 27, 2005
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101057879 VA Primary

Addresses

Primary practice location

611 E Jubal Early Dr
Winchester, VA 22601-5178

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

160 Merchant St Ste 100
Winchester, VA 22603-4772
Phone (540) 536-5560 ext. 54053

Other practice location 2

1440 Amherst St
Winchester, VA 22601-3010
Phone (540) 536-5400

Other identifiers 1

IdentifierTypeStateIssuer
005645948MedicaidVA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jbyrd124095@soc.inova.org
Direct Messaging Address jbyrd124095@soc.inova.org
Direct Messaging Address jbyrd124095@soc.inova.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000319 VA Practitioner - Family Practice 7214941830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

160 Merchant St
Suite 100
Winchester, VA 22603-4772
Phone (540) 536-5560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101057879VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Winchester Medical Center Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Valley Physician Enterprise, Inc Family Medicine Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise Inc Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1440 Amherst St
Winchester, VA 22601
Phone (540) 450-3339

160 Merchant St
#100
Winchester, VA 22603
Phone (540) 536-5400

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 100
Winchester, VA 22601

611 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-5500

Interoperability endpoints

  • FHIR API: https://epicproxy.et1320.epichosted.com/FHIRProxy/api/FHIR/R4
  • Direct secure messaging: jbyrd124095@valleyhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1639175391",
    "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": "226012896",
            "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": "611 E JUBAL EARLY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015178",
            "telephone_number": "540-536-5500",
            "fax_number": "540-536-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Merchant St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226034772",
            "country_code": "US",
            "telephone_number": "540-536-5560 x54053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013010",
            "country_code": "US",
            "telephone_number": "540-536-5400",
            "fax_number": "540-536-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JESSICA",
        "middle_name": "PANTEHA ABEDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101057879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005645948",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbyrd124095@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Merchant St Ste 100",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226034772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbyrd124095@soc.inova.org",
            "affiliation": "N",
            "address_1": "611 E Jubal Early Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226015178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbyrd124095@soc.inova.org",
            "affiliation": "N",
            "address_1": "1440 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.