NPIMap

Individual provider Active NPI

Kevin J Barko, PA

  • Medical Physician Assistant
  • Woodstock, VA
National Provider Identifier
1992743736
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110001968 Issued in VA
Practice address
759 S Main St
Ste 300
Woodstock, VA 22664-1127
Phone
(540) 459-1540
Fax
(540) 459-1486
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110001968 VA Primary

Addresses

Primary practice location

759 S Main St
Ste 300
Woodstock, VA 22664-1127

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
010198348MedicaidVA
P00300996OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbarko124182@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000237 VA Practitioner - Physician Assistant 2567404833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Memorial Hospital, Inc.Group PAC ID 2466360375, 65 clinicians

Practice addresses (Care Compare)

240 Shenandoah St
Woodstock, VA 22664-1051
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1124

Hospital & facility affiliations

  • Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
  • Sentara Home Care Services Home health agency, Harrisonburg, VA, CCN 497256
  • Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital Inc. CurrentSince Nov 30, 2016 Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Peak View Internal Medicine, PLC PastSince Jul 30, 2001 Accepting new patients

Locations

759 S Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-1540

759 S Main St
Ste 200
Woodstock, VA 22664
Phone (540) 459-1354

Interoperability endpoints

  • Direct secure messaging: kbarko124182@valleyhealth.direct-ci.com

Organizations & group practices 8

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 8

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1992743736",
    "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": "759 S MAIN ST",
            "address_2": "STE 300",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-1540",
            "fax_number": "540-459-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKO",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010198348",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00300996",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbarko124182@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "address_2": "Ste 300",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

Verify at the official NPI Registry.