Individual provider Active NPI

Liseli Whitly James

  • Family Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1801317235
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30570 Issued in WV
Practice address
120 Campus Dr
Martinsburg, WV 25404-7552
Phone
(681) 247-1250
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 30570 WV Primary

Addresses

Primary practice location

120 Campus Dr
Martinsburg, WV 25404-7552

Mailing address

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

Other practice location 1

2041 Georgia Ave NW
Washington, DC 20059-0001
Phone (202) 864-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ljames936418@soc.inova.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20211018002335 WV Practitioner - Family Practice 8022362920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Mountain Health Physicians IncGroup PAC ID 9133405327, 90 clinicians

Practice addresses (Care Compare)

120 Campus Dr
Suite 211
Martinsburg, WV 25404-7552
Phone (681) 247-1260

Hospital & facility affiliations

  • Valley Health Home Health/West Virginia Home health agency, Romney, WV, CCN 517075
  • Panhandle Home Health, Inc. Home health agency, Martinsburg, WV, CCN 517035
  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30570WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. Family Medicine Current Accepting new patients
East Mountain Health Physicians, Inc. Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Sep 1, 2021 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

120 Campus Dr
Ste 211
Martinsburg, WV 25404
Phone (681) 247-1260

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

120 Campus Dr
Ste 221
Martinsburg, WV 25404
Phone (681) 247-1280

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: ljames936418@soc.inova.org
  • Direct secure messaging: ljames936418@valleyhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1801317235",
    "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": "120 CAMPUS DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047552",
            "telephone_number": "681-247-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200590001",
            "country_code": "US",
            "telephone_number": "202-864-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "LISELI",
        "middle_name": "WHITLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "30570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljames936418@soc.inova.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Campus Dr Ste 211",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.