NPIMap

Individual provider Active NPI

Andrew Lee Judy, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Roanoke, VA
National Provider Identifier
1275150948
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008142 Issued in VA
Practice address
101 Elm Ave SE
Roanoke, VA 24013-2222
Phone
(888) 985-8483
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110008142 VA Primary

Addresses

Primary practice location

101 Elm Ave SE
Roanoke, VA 24013-2222

Mailing address

2317 Broadway Ave SW Apt E
Roanoke, VA 24014-1667
Phone (703) 650-8228

Other practice location 1

13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (804) 423-8467

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
I20211018000670 VA Practitioner - Physician Assistant 7315354297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

13710 St Francis Blvd
Midlothian, VA 23114-3267

1510 N 28TH St
Richmond, VA 23223-5311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jul 17, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jul 17, 2023 Accepting new patients
Cep America, LLC CurrentSince Sep 22, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 11, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 11, 2021 Accepting new patients
Cep America LLC CurrentSince Sep 22, 2024 Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8220 Meadowbridge Rd
Ste 202
Mechanicsville, VA 23116
Phone (804) 730-5023

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • Direct secure messaging: ajudy1152460@direct.bsmhealth.org

Organizations & group practices 8

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 11

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1275150948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 BROADWAY AVE SW APT E",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141667",
            "telephone_number": "703-650-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELM AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132222",
            "telephone_number": "888-985-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13710 St Francis Blvd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231143267",
            "country_code": "US",
            "telephone_number": "804-423-8467",
            "fax_number": "804-726-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDY",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.