Active NPI
Andrew W Ju, MD
- Radiation Oncology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2013-00433
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7319740 | Other | NC | CIGNA |
| 1235394081 | Medicaid | NC | |
| 179T8 | Other | NC | BCBS NC |
| P01619315 | Other | NC | RR 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-00433 | NC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Vidant Radiation Oncology LLC | Radiation Oncology | Current | 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
- 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.
-
- Radiation Oncology Physician
- Greenville, NC
- NPI 1821465642
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba Outer Banks Hospital Urgent Care
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
dba ECU Health Medical Center
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.