Individual provider Active NPI

Andrew Lombardozzi, DC

  • Chiropractor
  • Richmond, VA
National Provider Identifier
1346201282
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556290 Issued in VA
Practice address
1125 Gaskins Rd Ste 400
Richmond, VA 23238-5200
Phone
(804) 740-3434
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556290 VA Primary

Addresses

Primary practice location

1125 Gaskins Rd Ste 400
Richmond, VA 23238-5200

Mailing address

1125 Gaskins Rd Ste 400
Richmond, VA 23238-5200
Phone (804) 740-3434

Other practice location 1

8500 Staples Mill Road
Richmond, VA 23288-0001
Phone (804) 264-1286

Other identifiers 3

IdentifierTypeStateIssuer
176689OtherVAANTHEM BCBS
672753OtherVASOUTHERN HEALTH SVCS
1649390253MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000152 VA Practitioner - Chiropractic 0446279285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1129 Gaskins Rd
Suite 104
Richmond, VA 23238-5235
Phone (804) 740-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0104556290VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Wellness Associates Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1346201282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 GASKINS RD STE 400",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385200",
            "telephone_number": "804-740-3434",
            "fax_number": "804-747-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 GASKINS RD STE 400",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385200",
            "telephone_number": "804-740-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Staples Mill Road",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232880001",
            "country_code": "US",
            "telephone_number": "804-264-1286",
            "fax_number": "804-285-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBARDOZZI",
        "first_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "176689",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SVCS",
            "identifier": "672753",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649390253",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.