NPIMap

Individual provider Active NPI

Mauricio Ricardo Monrroy Prado, M.D.

  • Nephrology Physician
  • Richmond, VA
National Provider Identifier
1285836353
Registry record updated Aug 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101251095 Issued in VA
Practice address
3806 Mechanicsville Tpke
Richmond, VA 23223-1114
Phone
(804) 228-1143
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101251095 VA Primary

Addresses

Primary practice location

3806 Mechanicsville Tpke
Richmond, VA 23223-1114

Mailing address

951 Brickell Ave Apt 703
Miami, FL 33131-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151112001791 NY Practitioner - NephrologyPractitioner - Internal Medicine 8921264615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

25 Hackett Blvd
Albany, NY 12208-3462
Phone (518) 264-0900

Hospital & facility affiliations

  • FMC Freedom Center of Westmere Dialysis facility, Albany, NY, CCN 332736
  • Dci - Rubin Dialysis Center - Troy Dialysis facility, Troy, NY, CCN 332532
  • FMS-Albany Regional Kidney Center Dialysis facility, Albany, NY, CCN 332569
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 2, 2015 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Nephrology CurrentSince Sep 2, 2015 Accepting new patients
PMR Virginia Holding, LLC PastSince Apr 1, 2021 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients

Locations

25 Hackett Blvd
#69
Albany, NY 12208
Phone (518) 262-0091

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Organizations & group practices 6

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1285836353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BRICKELL AVE APT 703",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 MECHANICSVILLE TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231114",
            "telephone_number": "804-228-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONRROY PRADO",
        "first_name": "MAURICIO",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101251095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.