Active NPI
Matthew Tyler Lisk Sr., D.O.
- Internal Medicine Physician
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102204917
- Practice address
- 1840 Amherst St
Winchester, VA 22601 - Phone
- (540) 536-2270
- Fax
- (540) 536-7847
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102204917 | VA | Primary |
| Hospitalist Physician | 208M00000X | 0102204917 | VA | |
| Internal Medicine Physician | 207R00000X | OS016420 | PA |
Addresses
Primary practice location
1840 Amherst St
Winchester, VA 22601
Mailing address
220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100
Other practice location 1
363 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4561
Other practice location 2
1 Hospital Way
Butler, PA 16001-4670
Phone (724) 285-0823
Other practice location 3
329 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4932
Other practice location 4
759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1383
Other practice location 5
3774 Valley Rd
Berkeley Springs, WV 25411-4614
Phone (304) 258-9433
Other practice location 6
135 Memorial Dr
Luray, VA 22835-1016
Phone (540) 743-2887
Other practice location 7
1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-1234
Other practice location 8
200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561
Other practice location 9
759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- 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 |
|---|---|---|---|---|
| I20180108001900 | WV | Practitioner - Internal Medicine | 2961643143 | Reassigns benefits to 3 organizations |
| I20180612001001 | VA | Practitioner - Internal Medicine | 2961643143 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300
135 Memorial Dr
Luray, VA 22835-1016
Phone (540) 743-2887
200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561
20480 Market St
Onancock, VA 23417-4309
Phone (757) 302-2342
250 Memorial Dr
Suite C
Luray, VA 22835-1000
Phone (540) 743-1524
759 S Main St
Woodstock, VA 22664-1127
Phone (540) 459-1285
759 S Main St
Woodstock, VA 22664-1154
Hospital & facility affiliations
- Riverside Shore Memorial Hospital
- Warren Memorial Hospital
- Shenandoah Memorial Hospital
- Page Memorial Hospital, Inc
- Valley Health War Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204917 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| War Memorial Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Shenandoah Valley Pathology Laboratories Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Internal Medicine | Current | Accepting new patients |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc | Internal Medicine | Current | Accepting new patients |
| Hampshire Memorial Hospital, Inc. | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| War Memorial Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| Hampshire Memorial Hospital, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Valley Hospitalists, P.C. | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| Riverside Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| War Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000
20480 Market St
Onancock, VA 23417
Phone (757) 302-2100
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
220 Campus Blvd
Ste 320
Winchester, VA 22601
333 W Cork St
Ste 100
Winchester, VA 22601
Phone (540) 536-0518
220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307
1440 Amherst St
Winchester, VA 22601
Phone (540) 450-3339
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
3774 Valley Rd
Berkeley Springs, WV 25411
Phone (304) 258-9433
1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932
363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561
Interoperability endpoints
- mlisk279166@direct.rivhs.com
- mlisk514083@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.
-
- Internal Medicine Physician
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- NPI 1770756991
Internal Medicine, VA
-
- Surgery Physician
- Winchester, VA
- NPI 1538316203
Internal Medicine, VA
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
Internal Medicine, VA
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
VA
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
Internal Medicine, WV
-
- Internal Medicine Physician
- Berkeley Springs, WV
- NPI 1780904961
Internal Medicine, WV
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": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1992016844",
"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": "1840 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "22601",
"telephone_number": "540-536-2270",
"fax_number": "540-536-7847"
}
],
"practiceLocations": [
{
"address_1": "363 Sunrise Blvd",
"address_purpose": "LOCATION",
"city": "Romney",
"state": "WV",
"postal_code": "267574607",
"country_code": "US",
"telephone_number": "304-822-4561",
"fax_number": "304-822-4957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Way",
"address_purpose": "LOCATION",
"city": "Butler",
"state": "PA",
"postal_code": "160014670",
"country_code": "US",
"telephone_number": "724-285-0823",
"fax_number": "724-285-0879",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "329 Sunrise Blvd",
"address_purpose": "LOCATION",
"city": "Romney",
"state": "WV",
"postal_code": "267574607",
"country_code": "US",
"telephone_number": "304-822-4932",
"fax_number": "304-822-4957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "759 S Main St",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "VA",
"postal_code": "226641154",
"country_code": "US",
"telephone_number": "540-459-1383",
"fax_number": "540-459-1382",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3774 Valley Rd",
"address_purpose": "LOCATION",
"city": "Berkeley Springs",
"state": "WV",
"postal_code": "254114614",
"country_code": "US",
"telephone_number": "304-258-9433",
"fax_number": "304-258-6063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Luray",
"state": "VA",
"postal_code": "228351016",
"country_code": "US",
"telephone_number": "540-743-2887",
"fax_number": "540-743-1288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Berkeley Springs",
"state": "WV",
"postal_code": "254117463",
"country_code": "US",
"telephone_number": "304-258-1234",
"fax_number": "304-258-7422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Luray",
"state": "VA",
"postal_code": "228351000",
"country_code": "US",
"telephone_number": "540-743-4561",
"fax_number": "540-743-9560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "759 S Main St",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "VA",
"postal_code": "226641154",
"country_code": "US",
"telephone_number": "540-459-1100",
"fax_number": "540-459-1121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISK",
"first_name": "MATTHEW",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102204917",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0102204917",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS016420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.