Individual provider Active NPI

Ernesto Jimenez, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Winchester, VA
National Provider Identifier
1851323463
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101271499 Issued in VA
Practice address
1880 Amherst St Ste 310
Winchester, VA 22601-2808
Phone
(540) 536-6721
Fax
(540) 536-6724
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101271499 VA Primary

Addresses

Primary practice location

1880 Amherst St Ste 310
Winchester, VA 22601-2808

Mailing address

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

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other identifiers 1

IdentifierTypeStateIssuer
250646700MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ejimenez767073@soc.inova.org
Direct Messaging Address ejimenez767073@soc.inova.org
Direct Messaging Address ejimenez767073@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050118000838 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 3274582168 Reassigns benefits to 1 organization
I20161025002980 TX Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3274582168 Reassigns benefits to 1 organization
I20210421001201 VA Practitioner - Thoracic Surgery 3274582168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

131 S Citrus Ave
Suite 202
Inverness, FL 34452-4701
Phone (352) 637-0211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)22
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101271499VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2021 Accepting new patients
West Florida Cardiology Network, LLC CurrentSince Mar 16, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Sep 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Sep 1, 2016 Accepting new patients
Winchester Medical Center CurrentSince May 1, 2021 Accepting new patients
Valley Physician Enterprise, Inc Specialist CurrentSince May 1, 2021 Accepting new patients
Winchester Medical Center CurrentSince May 1, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Florida Hospital Physician Group Inc Past Accepting new patients
Cardiology Consultants Specialist Past Accepting new patients

Locations

131 S Citrus Ave
Ste 202
Inverness, FL 34452
Phone (352) 637-0211

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

9332 State Road 54
Ste 405
Trinity, FL 34655
Phone (727) 375-8264

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

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

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

1870 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 100
Winchester, VA 22601

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ernesto.jimenez@hca4.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: ejimenez767073@valleyhealth.direct-ci.com

Organizations & group practices 12

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 4

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1851323463",
    "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": "1880 AMHERST ST STE 310",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101271499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250646700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejimenez767073@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": "ejimenez767073@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejimenez767073@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst St Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.