Active NPI
Bobby L. Hudson Jr., PA
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA30110
- Practice address
- 1150 Varnum St NE
Washington, DC 20017-2104 - Phone
- (202) 269-7001
- Fax
- (202) 269-7825
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA30110 | PA | |
| Physician Assistant | 363A00000X | PA30110 | DC | Primary |
Addresses
Primary practice location
1150 Varnum St NE
Washington, DC 20017-2104
Mailing address
1150 Varnum St NE
Washington, DC 20017-2104
Phone (202) 269-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095
20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720
201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112
3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960
882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA30110 | DC | MD | Physician Assistant |
| PA30110 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Emergency Medicine Associates, PA | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| National Emergency Services District of Columbia Inc | Past | Accepting new patients | |
| Clarksburg Urgent Care LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000
228 7th St SE
Washington, DC 20003
Phone (202) 696-0795
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
7698 Dorchester Blvd
Ste 204
Hanover, MD 21076
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
Organizations & group practices 20
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.
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
dba Washington Hospital Center Physicians
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
dba Righttime Medical Care
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
dba Physicians Now
- Emergency Medicine Physician
- Rockville, MD
- NPI 1427217025
DC
-
dba MMG Emergency Medicine Cfnrg
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1558189712
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1326098138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 VARNUM ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172104",
"telephone_number": "202-269-7001",
"fax_number": "202-269-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 VARNUM ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172104",
"telephone_number": "202-269-7001",
"fax_number": "202-269-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "BOBBY",
"middle_name": "L.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "PA30110",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA30110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.