NPIMap

Individual provider Active NPI

Andrew D Cook, MD

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1114095072
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101250360 Issued in VA
Practice address
1600 Westbrook Ave
Richmond, VA 23227-3337
Phone
(804) 264-6231
Fax
(804) 264-6059
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X EC-05-047 ME
Family Medicine Physician 207Q00000X 0101250360 VA Primary

Addresses

Primary practice location

1600 Westbrook Ave
Richmond, VA 23227-3337

Mailing address

1600 Westbrook Ave
Richmond, VA 23227-3337
Phone (804) 264-6231

Other identifiers 1

IdentifierTypeStateIssuer
C06734OtherVAGROUP PTAN

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
I20111005000347 VA Practitioner - Family Practice 3274606272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF LTC Partners of VirginiaGroup PAC ID 4789014150, 28 clinicians

Practice addresses (Care Compare)

1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 543-2120

Hospital & facility affiliations

  • Westminster Canterbury Corporation Home health agency, Richmond, VA, CCN 497755
  • Westminster Canterbury Richmond at Home LLC Hospice, Richmond, VA, CCN 491633
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Westminster-Canterbury of Richmond Nursing home, Richmond, VA, CCN 495096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
EC-05-047MEMDFamily Medicine Physician
0101250360VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SNF LTC Partners of Virginia Family Medicine CurrentSince Dec 20, 2023 Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC Past Accepting new patients
Bon Secours-Virginia Healthsource Past Accepting new patients

Locations

13500 N Gayton Rd
Richmond, VA 23233
Phone (804) 360-7777

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

13700 N Gayton Rd
Richmond, VA 23233
Phone (804) 360-1960

Organizations & group practices 3

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1114095072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WESTBROOK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273337",
            "telephone_number": "804-264-6231",
            "fax_number": "804-264-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WESTBROOK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273337",
            "telephone_number": "804-264-6231",
            "fax_number": "804-264-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "EC-05-047",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101250360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.