Active NPI
Andrew Peace, MD
- Orthopaedic Surgery Physician
- Richmond, VA
National Provider Identifier
1164049805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101289203
- Practice address
- 1000 E Broad St
Richmond, VA 23219-1930 - Phone
- (804) 828-7069
- Fax
- (804) 828-4762
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101289203 | VA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 4351046415 | MI |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219-1930
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669
Other practice location 2
325 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2986
Phone (804) 526-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200630003132 | MI | Order and Referring Only - Orthopedic Surgery | 1658794177 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1164049805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191930",
"telephone_number": "804-828-7069",
"fax_number": "804-828-4762"
}
],
"practiceLocations": [
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-360-4669",
"fax_number": "804-828-4762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 Charles H Dimmock Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Colonial Heights",
"state": "VA",
"postal_code": "238342986",
"country_code": "US",
"telephone_number": "804-526-5888",
"fax_number": "804-828-4762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEACE",
"first_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101289203",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4351046415",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.