NPIMap

Individual provider Active NPI

Andy Thanjan, M.D.

  • Gastroenterology Physician
  • Richmond, VA
National Provider Identifier
1306083696
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101251979 Issued in VA
Practice address
5855 Bremo Rd Ste 706
Richmond, VA 23226-1926
Phone
(804) 285-8206
NPI assigned
Jan 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101251979 VA Primary

Addresses

Primary practice location

5855 Bremo Rd Ste 706
Richmond, VA 23226-1926

Mailing address

2369 Staples Mill Rd
Suite 200
Richmond, VA 23230-2918
Phone (804) 285-8206

Other identifiers 1

IdentifierTypeStateIssuer
1306083696MedicaidVA

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
I20120605000164 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 6103080189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
George Washington University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians

Practice addresses (Care Compare)

6602 W Broad St
Suite B
Richmond, VA 23230-1702
Phone (804) 285-8206

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy147
Upper gastrointestinal (GI) endoscopy for acid reflux114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists LLC Gastroenterology CurrentSince Aug 1, 2012 Accepting new patients

Locations

8266 Atlee Rd
Ste 133
Mechanicsville, VA 23116
Phone (804) 730-0792

201 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 289-1131

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

5855 Bremo Rd
Ste 706
Richmond, VA 23226
Phone (804) 287-4528

2369 Staples Mill Rd
Richmond, VA 23230

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230
Phone (804) 285-4465

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

7611 Forest Ave
Ste 320
Richmond, VA 23229
Phone (804) 237-7950

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

110 N Robinson St
Ste 100
Richmond, VA 23220
Phone (804) 254-5300

1396 Tappahannock Blvd
#B
Tappahannock, VA 22560
Phone (804) 288-1953

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1306083696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 STAPLES MILL RD",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "telephone_number": "804-285-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD STE 706",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261926",
            "telephone_number": "804-285-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANJAN",
        "first_name": "ANDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101251979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306083696",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.