NPIMap

Individual provider Active NPI

Andrew Richard Hordes, MD

  • Cardiovascular Disease Physician
  • Pawtucket, RI
National Provider Identifier
1174583595
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD06365 Issued in RI
Practice address
333 School St
Ste 112
Pawtucket, RI 02860-5335
Phone
(401) 723-1210
Fax
(401) 312-2099
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD06365 RI Primary

Addresses

Primary practice location

333 School St
Ste 112
Pawtucket, RI 02860-5335

Mailing address

333 School St
Ste 112
Pawtucket, RI 02860-5335
Phone (401) 723-1210

Other identifiers 1

IdentifierTypeStateIssuer
7003411MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120521000300 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274429634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Medical Center IncGroup PAC ID 2668377474, shared by 7 NPIs, 95 clinicians

Practice addresses (Care Compare)

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-0826

336 Deerfield Rd
Boone, NC 28607-5008

338 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

Hospital & facility affiliations

  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Aug 15, 2016 Accepting new patients
Watauga Medical Center Inc Cardiovascular Disease CurrentSince Apr 16, 2012 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Aug 15, 2016 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Current Accepting new patients
Watauga Medical Center Inc CurrentSince Apr 16, 2012 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Watauga Medical Center Inc Cardiovascular Disease CurrentSince May 13, 2012 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Past Accepting new patients
Cardiovascular Institute of New England PC Cardiovascular Disease PastSince Jan 1, 2009 Accepting new patients
Blackstone Cardiology Associates Cardiovascular Disease PastSince Feb 24, 2004 Accepting new patients
Watauga Medical Center, Inc. Past Accepting new patients

Locations

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

175 Mary St
Boone, NC 28607
Phone (828) 264-9664

Interoperability endpoints

  • Direct secure messaging: ahordes234040@direct.unc.nchie.net

Organizations & group practices 12

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1174583595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "STE 112",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605335",
            "telephone_number": "401-723-1210",
            "fax_number": "401-312-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "STE 112",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605335",
            "telephone_number": "401-723-1210",
            "fax_number": "401-312-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORDES",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD06365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003411",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.