Peter Condro Jr., M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0101037802 Issued in VA

Practice address

671 Hioaks Rd
Suite B
Richmond, VA 23225

Phone

(804) 272-5814

Fax

(804) 560-0232

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: peter.condro@rn.eclinicaldirectplus.com

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1144228503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HIOAKS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-272-5814",
            "fax_number": "804-560-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HIOAKS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-272-5814",
            "fax_number": "804-560-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRO",
        "first_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101037802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6075991",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concentra Health Services, Inc.
• Kenshiemaru Concepcion
• Joseph Concodora, M.D.
• Concussion Care Centre of VA
• Alice M Condro, M.D.
• Elizabeth S Condyles, LPC
• Ponjola Coney, M.D.
• Bridget Coneys
• Confident Living Home Therapy Consulting LLC
• Alison B Conley, MS, OTR/L

• Nephrology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.