Individual provider Active NPI

Gordon K Wolfe, MD

  • Pulmonary Disease Physician
  • Winchester, VA
National Provider Identifier
1649238437
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101042299 Issued in VA
Practice address
190 Campus Blvd Ste 100
Winchester, VA 22601-2842
Phone
(540) 536-5980
Fax
(540) 536-5979
NPI assigned
May 2, 2006
Last updated
May 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101042299 VA Primary

Addresses

Primary practice location

190 Campus Blvd Ste 100
Winchester, VA 22601-2842

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
006053823MedicaidVA
0071689000MedicaidWV
110024326OtherRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gwolfe124076@soc.inova.org
Direct Messaging Address gwolfe124076@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
I20070503000037 VA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6002818788 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jun 27, 1988 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 15, 2019 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Jun 27, 1988 Accepting new patients
Valley Physician Enterprise Inc CurrentSince Jun 15, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

136 Linden Dr
Ste 104
Winchester, VA 22601

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

220 Campus Blvd
Ste 100
Winchester, VA 22601

525 Amherst St
Ste 104
Winchester, VA 22601
Phone (540) 662-4263

Interoperability endpoints

  • Direct secure messaging: gwolfe124076@soc.inova.org
  • FHIR API: https://epicproxy.et1320.epichosted.com/FHIRProxy/api/FHIR/R4

Organizations & group practices 8

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.

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": "1622160000000",
    "number": "1649238437",
    "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": "190 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012842",
            "telephone_number": "540-536-5980",
            "fax_number": "540-536-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "GORDON",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101042299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006053823",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071689000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110024326",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwolfe124076@soc.inova.org",
            "affiliation": "N",
            "address_1": "525 Amherst St",
            "address_2": "Suite 104",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwolfe124076@soc.inova.org",
            "affiliation": "N",
            "address_1": "190 Campus Blvd Ste 100",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.