Individual provider Active NPI

Anthony Christian Iudica, M.D.

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1265433932
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101223186 Issued in VA
Practice address
1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone
(540) 433-9151
Fax
(540) 433-0547
NPI assigned
Aug 3, 2005
Last updated
Jan 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101223186 VA Primary

Addresses

Primary practice location

1831 Reservoir St
Harrisonburg, VA 22801-8743

Mailing address

1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone (540) 433-9151

Other identifiers 5

IdentifierTypeStateIssuer
005619858MedicaidVA
005619858OtherVAVA PREMIER ID
113977OtherVAOPTIMA
145606OtherVASOUTHERN HEALTH ID
453282OtherVAANTHEM ID

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
I20060327000439 VA Practitioner - Family Practice 8325056708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Speech and Language Center PLLCGroup PAC ID 7911182654, 12 clinicians
Harrisonburg Family Practice Associates PCGroup PAC ID 3274792049, 7 clinicians

Practice addresses (Care Compare)

1591 Port Republic Rd
Harrisonburg, VA 22801-3517

1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone (540) 433-9151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101223186VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg Family Practice Associates PC CurrentSince Jul 1, 2001 Accepting new patients

Locations

1831 Reservoir St
Harrisonburg, VA 22801
Phone (540) 433-9151

Interoperability endpoints

  • Direct secure messaging: ciudica@hfp.gwaydirect.com

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

Hospital & facility affiliations 4

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1265433932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 RESERVOIR ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018743",
            "telephone_number": "540-433-9151",
            "fax_number": "540-433-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 RESERVOIR ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018743",
            "telephone_number": "540-433-9151",
            "fax_number": "540-433-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IUDICA",
        "first_name": "ANTHONY",
        "middle_name": "CHRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101223186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005619858",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER ID",
            "identifier": "005619858",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "113977",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH ID",
            "identifier": "145606",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "453282",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.