Active NPI
Troy Robert Prentice, PA-C
- Surgical Physician Assistant
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0110008603
- Practice address
- 7858 Shrader Rd
Richmond, VA 23294-4222 - Phone
- (804) 915-1910
- NPI assigned
- May 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0110008603 | VA | Primary |
Addresses
Primary practice location
7858 Shrader Rd
Richmond, VA 23294-4222
Mailing address
7858 Shrader Rd
Richmond, VA 23294-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A67227225 | Other | VA | DRIVERS LICENSE NUMBER |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.52 of 100
- Quality
- 91.6
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008603 | VA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Springfield Emergency Physicians PC | Current | Accepting new patients | |
| Orthovirginia, Inc | Surgical | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Alexandria Springfield Emergency Physicians PC | Current | Accepting new patients |
Locations
60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
7858 Shrader Rd
Richmond, VA 23294
Phone (804) 287-2780
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Franklin, VA
- NPI 1740529700
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1720839764
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1154068880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7858 SHRADER RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7858 SHRADER RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944222",
"telephone_number": "804-915-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTICE",
"first_name": "TROY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-15",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "VA",
"license": "0110008603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE NUMBER",
"identifier": "A67227225",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Premiere Medical VA LLC
- Premise Health of Virginia Medical PC
- Premise Health of Virginia Medical PC
- Premise Health of Virginia Medical, P.C
- Premise Health of Virginia Medical, P.C
- Megan L Presby, PT
- Bryan Samuel Vinson Press, PT, DPT
- Hannah Pressley
- Prestige Associate LLC
- Prestige Healthcare Resources BH LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.