Ingrid C Iwanow, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101231531 Issued in VA

Practice address

1870 Amherst St Ste 2B
Winchester, VA 22601-2841

Phone

(540) 536-2790

Fax

(540) 536-2791

NPI assigned

Oct 4, 2006

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 5

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

Specialty

Otolaryngology

Education

Geisel School of Medicine at Dartmouth, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1320.epichosted.com/FHIRProxy/api/FHIR/R4
• Direct secure messaging: iiwanow124085@soc.inova.org
• Direct secure messaging: iiwanow124085@valleyhealth.direct-ci.com

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.

• Winchester Medical Center

  dba Valley Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Winchester, VA
  • NPI 1679711261
  Medicare reassignment Care Compare group NPD
• Shenandoah Head and Neck Specialists, PLC

  • Otolaryngology Physician
  • Winchester, VA
  • NPI 1659478485
  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  • Surgery Physician
  • Woodstock, VA
  • NPI 1407357015

  Otolaryngology

  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  dba Valley Health Shenandoah Memorial Hospital Multispecialty Clinic

  • Rural Health Clinic/Center
  • Woodstock, VA
  • NPI 1952417735
  Medicare reassignment NPD
• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203
  Medicare reassignment NPD
• Warren Memorial Hospital, Inc.

  dba Warren Memorial Hospital

  • Emergency Medicine Physician
  • Front Royal, VA
  • NPI 1164442281
  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  NPD
• Valley Physician Enterprise Inc

  dba Valley Health Primary Care

  • Family Medicine Physician
  • Winchester, VA
  • NPI 1922543677
  NPD
• Valley Physician Enterprise, Inc.

  dba Valley Health Fertility

  • Obstetrics & Gynecology Physician
  • Winchester, VA
  • NPI 1255222535
  NPD
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  NPD
• Warren Memorial Hospital, Inc.

  dba Valley Health Multispecialty Clinic Commerce Ave

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1457840183

  Otolaryngology

  NPD
• Winchester Medical Center

  dba Valley Health Pediatrics Department of Winchester Medical Center

  • Pediatrics Physician
  • Winchester, VA
  • NPI 1013874742
  NPD

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

• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  dba Valley Health Laboratories

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1689769416",
    "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": "1870 AMHERST ST STE 2B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012841",
            "telephone_number": "540-536-2790",
            "fax_number": "540-536-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANOW",
        "first_name": "INGRID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101231531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00417900",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689769416",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwanow124085@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwanow124085@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwanow124085@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 2B",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwanow124085@soc.inova.org",
            "affiliation": "N",
            "address_1": "174 Botanical Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226033977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwanow124085@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwendolyn Williams Isler, MS RD LD
• Itech Solutions LLC
• Giovanni P Iuculano, D.D.S.
• Frank Edward Ivan III, P.T.
• Heidi Ivey, LPC
• J W Platt, RPH, LLC (The Wellness Pharmacy)
• Jack Ricci DC PC
• Alyssa Jackson, LPC
• Barbara A Jackson, RD
• Jessica Marie Jackson, D.O.

• Otolaryngology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.