Individual provider Active NPI

Victoria Jane Whitlow Lyness, MD

  • Surgery Physician
  • Winchester, VA
National Provider Identifier
1841637782
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101267000 Issued in VA
Practice address
190 Campus Blvd Ste 310
Winchester, VA 22601-2872
Phone
(540) 536-0130
Fax
(540) 536-0140
NPI assigned
Jun 2, 2013
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101267000 VA Primary

Addresses

Primary practice location

190 Campus Blvd Ste 310
Winchester, VA 22601-2872

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other names 1

  • Victoria Jane Whitlow Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address vlyness113217@soc.inova.org
Direct Messaging Address vlyness113217@soc.inova.org
Direct Messaging Address vlyness113217@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
I20190812002889 VA Practitioner - General Surgery 8729220777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Sep 3, 2019 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Sep 3, 2019 Accepting new patients
Valley Physician Enterprise, Inc Surgery CurrentSince Sep 3, 2019 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Sep 3, 2019 Accepting new patients

Locations

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

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

190 Campus Blvd
Ste 310
Winchester, VA 22601
Phone (540) 536-0130

20 S Stewart St
Winchester, VA 22601
Phone (540) 536-0130

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: vlyness113217@soc.inova.org
  • Direct secure messaging: vlyness113217@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1841637782",
    "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": "226012888",
            "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 310",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-536-0130",
            "fax_number": "540-536-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNESS",
        "first_name": "VICTORIA",
        "middle_name": "JANE WHITLOW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101267000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlyness113217@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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlyness113217@soc.inova.org",
            "affiliation": "N",
            "address_1": "20 S Stewart St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlyness113217@soc.inova.org",
            "affiliation": "N",
            "address_1": "190 Campus Blvd Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "WHITLOW",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.