Individual provider Active NPI

Andrea K Miksa, M.D.

  • Pulmonary Disease Physician
  • Richmond, VA
National Provider Identifier
1225058050
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101038764 Issued in VA
Practice address
6600 W Broad St Ste 300
Richmond, VA 23230-1709
Phone
(804) 320-4243
Fax
(804) 622-0552
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101038764 VA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101038764 VA

Addresses

Primary practice location

6600 W Broad St Ste 300
Richmond, VA 23230-1709

Mailing address

1000 Boulders Pkwy
Suite 102
Richmond, VA 23225-5545
Phone (804) 320-4243

Other identifiers 8

IdentifierTypeStateIssuer
006056032MedicaidVA
31463OtherVACARENET PROVIDER NUMBER
759196OtherVAMAMSI PROVIDER NUMBER
021800OtherVACIGNA PROVIDER NUMBER
4800036OtherVAUNITED HEALTHCARE PROV #
59293OtherVASOUTHER HEALTH PROVIDER #
188469OtherVAANTHEM PROVIDER NUMBER
557515OtherVAAETNA PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andreamiksa@par.allscriptsdirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000732 VA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4082798996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
Quality
71.96
Promoting interoperability
99
Improvement activities
40
Cost
77.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Richmond Inc CurrentSince Feb 20, 1991 Accepting new patients
HCA Health Services of Virginia, Inc. Past Accepting new patients

Locations

2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261

1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

1603 Santa Rosa Rd
Rm 101
Richmond, VA 23229
Phone (804) 288-2711

6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1225058050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY",
            "address_2": "SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255545",
            "telephone_number": "804-320-4243",
            "fax_number": "804-282-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W BROAD ST STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301709",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKSA",
        "first_name": "ANDREA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101038764",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101038764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006056032",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET PROVIDER NUMBER",
            "identifier": "31463",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER NUMBER",
            "identifier": "759196",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "021800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "4800036",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHER HEALTH PROVIDER #",
            "identifier": "59293",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "188469",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "557515",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andreamiksa@par.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6600 W Broad St Ste 300",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232301709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.