Individual provider Active NPI

Andrew W Ju, MD

  • Radiation Oncology Physician
  • Greenville, NC
National Provider Identifier
1235394081
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2013-00433 Issued in NC
Practice address
600 Moye Blvd
Leo Jenkins Cancer Center
Greenville, NC 27834-4300
Phone
(252) 744-2900
Fax
(252) 744-3844
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2013-00433 NC Primary

Addresses

Primary practice location

600 Moye Blvd
Leo Jenkins Cancer Center
Greenville, NC 27834-4300

Mailing address

PO Box 8423
Newco Cancer Services
Greenville, NC 27835-8423

Other identifiers 4

IdentifierTypeStateIssuer
7319740OtherNCCIGNA
1235394081MedicaidNC
179T8OtherNCBCBS NC
P01619315OtherNCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130923000509 NC Practitioner - Radiation Oncology 9638313158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Wisconsin School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Radiation Oncology LLCGroup PAC ID 2567768021, 8 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

212 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-1717

301 Academy St S
Ahoskie, NC 27910-3243
Phone (252) 209-8483

524 Moye Blvd
Greenville, NC 27834-2848
Phone (252) 847-0868

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00433NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Jul 1, 2013 Accepting new patients
East Carolina University Current Accepting new patients
Vidant Radiation Oncology LLC Radiation Oncology CurrentSince Jan 1, 2016 Accepting new patients

Locations

301 Academy St S
Ahoskie, NC 27910
Phone (252) 209-8483

524 Moye Blvd
Greenville, NC 27834
Phone (252) 551-6300

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

703 Doctors Dr
Kinston, NC 28501
Phone (252) 522-7600

212 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 537-1717

Interoperability endpoints

  • Direct secure messaging: aju49036@direct.ecuhealth.com

Organizations & group practices 5

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 2

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1235394081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8423",
            "address_2": "NEWCO CANCER SERVICES",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "address_2": "LEO JENKINS CANCER CENTER",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-2900",
            "fax_number": "252-744-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JU",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2013-00433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7319740",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235394081",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "179T8",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01619315",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.