Active NPI
Andrea E.P. Kittrell, M.D.
- Otolaryngology Physician
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0101222062
- Practice address
- 3029 Old Forest Rd
Lynchburg, VA 24501-2341 - Phone
- (434) 455-7999
- Fax
- (434) 455-7997
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101222062 | VA | Primary |
Addresses
Primary practice location
3029 Old Forest Rd
Lynchburg, VA 24501-2341
Mailing address
3029 Old Forest Rd
Lynchburg, VA 24501-2341
Phone (434) 455-7999
Other practice location 1
1870 Amherst St Ste 2B
Winchester, VA 22601-2841
Phone (540) 536-2790
Other practice location 2
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174845 | Other | VA | SOUTHERN HEALTH |
| 006502334 | Medicaid | VA | |
| 337490 | Other | VA | ANTHEM |
| 541250449 | Other | VA | FEDERAL TAX ID |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akittrell961589@soc.inova.org | ||
| Direct Messaging Address | akittrell961589@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090831000121 | VA | Practitioner - Otolaryngology | 0042365801 | Reassigns benefits to 3 organizations |
| I20230413001411 | PA | Practitioner - Otolaryngology | 0042365801 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Wake Forest University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger ClinicWinchester Medical CenterValley Physician Enterprise Inc
Practice addresses (Care Compare)
1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700
1870 Amherst St
Suite 2B
Winchester, VA 22601-2841
Phone (540) 536-7290
Hospital & facility affiliations
- Geisinger Medical Center
- Winchester Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101222062 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Medical Center | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc | Current | Accepting new patients | |
| Shenandoah Valley Pathology Laboratories Inc | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Complexions of Central Virginia, Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Otolaryngology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Central Virginia Audiology Services Inc | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
1922 Thomson Dr
Ste B
Lynchburg, VA 24501
Phone (434) 846-4444
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
1870 Amherst St
Ste 2B
Winchester, VA 22601
Phone (540) 536-6721
Interoperability endpoints
- akittrell961589@soc.inova.org
- akittrell961589@valleyhealth.direct-ci.com
Organizations & group practices 25
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
VA
-
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Rural Health Clinic/Center
- Winchester, VA
- NPI 1467045922
-
- Home Health Agency
- Winchester, VA
- NPI 1538142005
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
- Psychiatric Hospital Unit
- Winchester, VA
- NPI 1629027263
-
- Pharmacy
- Winchester, VA
- NPI 1922082718
-
- Mammography Clinic/Center
- Winchester, VA
- NPI 1932842937
Hospital & facility affiliations 28
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": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1972500270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 OLD FOREST RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245012341",
"telephone_number": "434-455-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3029 OLD FOREST RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245012341",
"telephone_number": "434-455-7999",
"fax_number": "434-455-7997"
}
],
"practiceLocations": [
{
"address_1": "1870 Amherst St Ste 2B",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012841",
"country_code": "US",
"telephone_number": "540-536-2790",
"fax_number": "540-536-2791",
"country_name": "United States",
"address_type": "DOM"
},
{
"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": "KITTRELL",
"first_name": "ANDREA",
"middle_name": "E.P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101222062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "174845",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006502334",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "337490",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "541250449",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akittrell961589@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": "akittrell961589@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": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.