NPIMap

Individual provider Active NPI

Andrew Stone Clark, MD

  • Anesthesiology Physician
  • Richmond, VA
National Provider Identifier
1245223056
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101034102 Issued in VA
Practice address
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone
(804) 289-4937
Fax
(804) 565-6600
NPI assigned
Aug 26, 2005
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101034102 VA Primary

Addresses

Primary practice location

1602 Skipwith Rd
Richmond, VA 23229-5205

Mailing address

1504 Santa Rosa Rd
Suite 206
Richmond, VA 23229-5109
Phone (804) 288-4453

Other identifiers 1

IdentifierTypeStateIssuer
010156751MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041228000432 VA Practitioner - Anesthesiology 0648238303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Virginia School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Consultants ofGroup PAC ID 1951362607, 17 clinicians

Practice addresses (Care Compare)

202 Duke of Gloucester SW St
Roanoke, VA 24014-1372
Phone (540) 345-4900

Merit-based Incentive Payment System (MIPS)

Final score
96.98 of 100Reported as group
Quality
93.95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Anesthesia Specialists Inc Anesthesiology CurrentSince Nov 7, 2015 Accepting new patients
Gastroenterology Consultants of CurrentSince Nov 4, 2016 Accepting new patients
Capital Digestive Care, LLC CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care, LLC CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients
Endoscopy Center of Southwest Virginia LLC PastSince May 11, 2025 Accepting new patients
Western Anesthesia Consultants, PC Anesthesiology Past Accepting new patients
Professional Anesthesia Group, LLC Anesthesiology Past Accepting new patients
Advanced Ambulatory Anesthesia, Inc Anesthesiology Past Accepting new patients
Inderjit Singh MD PC Past Accepting new patients
Anesthesia Associates of Richmond, Inc Anesthesiology Past Accepting new patients
North American Partners in Anesthesia (Virginia), LLC Anesthesiology Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

1714 E Hundred Rd
Ste 104
Chester, VA 23836
Phone (804) 681-0556

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

202 Duke Gloucester St SW
Roanoke, VA 24014
Phone (540) 345-4900

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1245223056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SANTA ROSA RD",
            "address_2": "SUITE 206",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295109",
            "telephone_number": "804-288-4453",
            "fax_number": "804-288-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SKIPWITH RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295205",
            "telephone_number": "804-289-4937",
            "fax_number": "804-565-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANDREW",
        "middle_name": "STONE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101034102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010156751",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.