Active NPI
Joseph Concodora, M.D.
- Urology Physician
- Richmond, VA
National Provider Identifier
1245294701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101 026311
- Practice address
- 9105 Stony Point Pkwy
Richmond, VA 23235-1979 - Phone
- (804) 287-1030
- Fax
- (804) 288-3529
- NPI assigned
- Apr 13, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101 026311 | VA | Primary |
Addresses
Primary practice location
9105 Stony Point Pkwy
Richmond, VA 23235-1979
Mailing address
9105 Stony Point Pkwy
Richmond, VA 23235-1979
Phone (804) 287-1030
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1576 | Other | VA | CARENET |
| 23308 | Other | VA | SENTARA FAMILY CARE |
| 738307 | Other | VA | AETNA HMO |
| 323385 | Other | VA | ALLIANCE |
| 425966900 | Other | VA | TRICARE |
| 1900008 | Other | VA | UNITED HEALTHCARE |
| 340014318 | Other | VA | RAILROAD MEDICARE |
| 4400145 | Other | VA | AETNA PPO |
| C05484 | Other | VA | MEDICARE GROUP # |
| 090667000-00 | Other | VA | QUALCHOICE |
| 007501978 | Medicaid | VA | |
| 2540 | Other | VA | CIGNA |
| 76653 | Other | VA | SOUTHERN HEALTH |
| CA4542 | Other | VA | RAILROAD MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101 026311 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Urology Center-Hopewell | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Hopewell, VA
- NPI 1447376710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1245294701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 STONY POINT PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351979",
"telephone_number": "804-287-1030",
"fax_number": "804-288-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 STONY POINT PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351979",
"telephone_number": "804-287-1030",
"fax_number": "804-288-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCODORA",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101 026311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARENET",
"identifier": "1576",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA FAMILY CARE",
"identifier": "23308",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "738307",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "323385",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "425966900",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1900008",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340014318",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4400145",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C05484",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "090667000-00",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007501978",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2540",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "76653",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CA4542",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.