Individual provider Active NPI

Johny Alencherry, MD

  • Internal Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1952387300
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19105 Issued in WV
Practice address
120 Campus Dr Ste 211
Martinsburg, WV 25404-7561
Phone
(681) 247-1260
NPI assigned
Dec 19, 2005
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19105 WV Primary
Pulmonary Disease Physician 207RP1001X D41786 MD
Pulmonary Disease Physician 207RP1001X 19105 WV
Pulmonary Disease Physician 207RP1001X MO-039584-E PA

Addresses

Primary practice location

120 Campus Dr Ste 211
Martinsburg, WV 25404-7561

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

12821 Oak Hill Ave
Hagerstown, MD 21742-2940
Phone (301) 733-0300

Other practice location 2

40 V Twin Dr Ste 205
Gettysburg, PA 17325-7878
Phone (717) 339-2790

Other identifiers 1

IdentifierTypeStateIssuer
777091000MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jalencherry1458903@ValleyHealth.direct-ci.com 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
I20241031002817 WV Practitioner - Internal Medicine 0648171900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19105WVMDInternal Medicine Physician
D41786MDMDPulmonary Disease Physician
MO-039584-EPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. Internal Medicine Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 320
Winchester, VA 22601

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

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

Interoperability endpoints

  • Direct secure messaging: jalencherry1458903@valleyhealth.direct-ci.com

Organizations & group practices 6

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1952387300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "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 STE 211",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047561",
            "telephone_number": "681-247-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12821 Oak Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422940",
            "country_code": "US",
            "telephone_number": "301-733-0300",
            "fax_number": "301-733-5773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 V Twin Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2790",
            "fax_number": "717-798-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALENCHERRY",
        "first_name": "JOHNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19105",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D41786",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "19105",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MO-039584-E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777091000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jalencherry1458903@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Campus Dr Ste 211",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.