VIRGINIA INTEGRATIVE MEDICAL
NPI 1255851531
Family Medicine in Winchester, VA

Active since June 27, 2017CLIA 49D2133756 · Waiver
3038 VALLEY AVE, WINCHESTER, VA 22601(540) 508-0651(540) 585-4081 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 18, 2021, Jun 27, 2017 (2 updates tracked since 2017).

About Virginia Integrative Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRGINIA INTEGRATIVE MEDICAL (NPI 1255851531) is a healthcare organization registered as a family medicine in Winchester, Virginia and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Jordan L Tran, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1255851531
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBODEN HEALTH SYSTEM LLC
Location Address3038 VALLEY AVEWinchester, VA 22601-2637
Mailing Address3038 Valley AveWinchester, VA 22601-2637 · (540) 508-0651 · Fax (540) 585-4081
Fax(540) 585-4081
Organization SubpartNo
Authorized OfficialJordan L TranOwner/authorized Official · (540) 508-0651
Enumeration DateJune 27, 2017
Last NPPES UpdateJanuary 18, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1255851531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3038 VALLEY AVE, Winchester, VA 22601

Other Names 1

Doing Business AsVirginia Integrative Medical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Virginia Integrative Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Virginia Integrative Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1467112656
3038 VALLEY AVE
Winchester, VA 22601
(540) 508-0651
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730417338
125 PROSPERITY DR SUITE 500
Winchester, VA 22602
(540) 508-0651
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1508123365
841 N SHENANDOAH AVE STE 3
Front Royal, VA 22630
(540) 636-7000
✔ PECOS✔ Accepts Medicare15 mi
Rheumatology
NPI 1336451038
9602 PATTERSON AVE
Richmond, VA 23229
(804) 217-9601
✔ PECOS112 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2133756

Boden Health Systems Dba Virginia Integrative Medical, LLC · Winchester, VA
Active · expires Jul 18, 2027
CLIA Number49D2133756
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorJordan L. Tran
Laboratory Phone(540) 508-0651
Laboratory LocationBoden Health Systems Dba Virginia Integrative Medical, LLC905 Ceder Creek Grade Suite 102, Winchester, VA 22601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boden Health System LLC's NPI number?

The NPI number for Boden Health System LLC is 1255851531. It was assigned to this organization in the NPPES registry on June 27, 2017. The provider is doing business as Virginia Integrative Medical.

Where is Boden Health System LLC located?

Boden Health System LLC is located at 3038 Valley Ave, Winchester, VA 22601. The listed phone number is (540) 508-0651.

What is Boden Health System LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Boden Health System LLC enrolled in Medicare?

Yes. Boden Health System LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boden Health System LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Boden Health System LLC, in Family Practice, Nurse Practitioner and Rheumatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boden Health System LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2133756) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boden Health System LLC was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.