ALLERGY AND ASTHMA OF VIRGINIA
NPI 1689119646
Allergy & Immunology in Forest, VA

Active since December 30, 2016
1019A VISTA PARK DR, FOREST, VA 24551(434) 515-0419(844) 693-9305 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 12, 2018, Feb 9, 2017, Dec 30, 2016 (3 updates tracked since 2016).

About Allergy And Asthma Of Virginia NPPES

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

ALLERGY AND ASTHMA OF VIRGINIA (NPI 1689119646) is a healthcare organization registered as an allergy & immunology in Forest, Virginia and active in the NPI registry since December 2016. The organization maintains 2 additional practice locations and lists Luis A Matos, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1689119646
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameINDWELL HEALTH AND WELLNESS.LLC
Location Address1019A VISTA PARK DRForest, VA 24551-4901
Mailing AddressPo Box 13103Roanoke, VA 24031-3103 · (434) 251-0026
Fax(844) 693-9305
Organization SubpartNo
Authorized OfficialLuis A MatosMedical Director · (434) 252-0026
Enumeration DateDecember 30, 2016
Last NPPES UpdateApril 12, 20183 updates tracked since enumeration
✔ NPI 1689119646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in VA · 0101056392
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 0101056392 (VA)
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 0101056392 (VA)
1019A VISTA PARK DR, Forest, VA 24551

Other Names 1

Doing Business AsAllergy And Asthma Of Virginia

Secondary Practice Locations 2

Location 11315 2nd St SW Ste 101ARoanoke, VA 24016-4935 · Phone (540) 384-1797 · Fax (844) 693-9305
Location 24500 Riverside Dr Ste B-1Danville, VA 24541-5167 · Phone (434) 252-0026 · Fax (844) 693-9305

Other Identifiers 1

Medicaid5804426VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Allergy And Asthma Of Virginia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Allergy And Asthma Of Virginia, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allergy/Immunology
NPI 1972506509
1019A VISTA PARK DR
Forest, VA 24551
(434) 515-0419
✔ PECOS✔ Accepts MedicareSame address

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

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 Indwell Health And Wellness.Llc's NPI number?

The NPI number for Indwell Health And Wellness.Llc is 1689119646. It was assigned to this organization in the NPPES registry on December 30, 2016. The provider is doing business as Allergy And Asthma Of Virginia.

Where is Indwell Health And Wellness.Llc located?

Indwell Health And Wellness.Llc is located at 1019A Vista Park Dr, Forest, VA 24551. The listed phone number is (434) 515-0419.

What is Indwell Health And Wellness.Llc's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Indwell Health And Wellness.Llc enrolled in Medicare?

Yes. Indwell Health And Wellness.Llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indwell Health And Wellness.Llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Indwell Health And Wellness.Llc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Indwell Health And Wellness.Llc was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.