Rudolph Clinton Anderson Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103001041 Issued in VA

Practice address

1600 N Beauregard St Ste 300
Alexandria, VA 22311-1732

Phone

(703) 940-3810

Fax

(703) 940-3811

NPI assigned

Aug 23, 2005

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score

80.33 of 100Reported as group

Quality

74.39

Promoting interoperability

87

Improvement activities

40

Cost

70.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEIBAA
• Direct secure messaging: randerson10925@direct.virginiahospitalcenter.net

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.

• Virginia Hospital Center Physician Group, LLC

  dba VHC Health Medical Group Maternal Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Arlington, VA
  • NPI 1144415480

  DC

  Medicare reassignment Care Compare group NPD
• Virginia Medical Alliance PC

  • Internal Medicine Physician
  • Springfield, VA
  • NPI 1225083223

  DC

  Medicare reassignment NPD
• Hampton Roads Podiatry PC

  • Foot Surgery Podiatrist
  • VA Beach, VA
  • NPI 1538279260
  NPD (past) Authorized official
• Virginia Hospital Center Physician Group LLC

  dba VHC Health Medical Group Cardiology

  • Cardiovascular Disease Physician
  • Arlington, VA
  • NPI 1043617889
  NPD
• Virginia Hospital Center Physician Group LLC

  dba VHC Health Medical Group Neurology

  • Neurology Physician
  • Arlington, VA
  • NPI 1245010479
  NPD
• Aal Podiatry Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Norfolk, VA
  • NPI 1003962432
  NPD (past)
• Aal Podiatry Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
  • NPI 1629124474
  NPD (past)
• Virginia Hospital Center Physician Group LLC

  dba VHC Health Medical Group Podiatry

  • Podiatrist
  • Alexandria, VA
  • NPI 1003228917
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1275526501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N BEAUREGARD ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111732",
            "telephone_number": "703-940-3810",
            "fax_number": "703-940-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N BEAUREGARD ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111732",
            "telephone_number": "703-940-3810",
            "fax_number": "703-940-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RUDOLPH",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103001041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9304240",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randerson10925@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1600 N Beauregard St Ste 300",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223111732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Carlson Anderson, DDS
• David John Anderson, D.D.S
• Elizabeth P. Anderson, LCSW
• Nedra Ann Anderson
• Nicole Lawanda Anderson, LPC
• Vera M. Ando-Winstead, C.M.T
• Nicholas J Andolina, DC
• Moheb S Andrawis, M.D.
• Tabitha E Andre
• Andrew Aboagye-Kumi DDS PLLC

• Podiatrist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.

Verify at the official NPI Registry.