NPIMap

Individual provider Active NPI

Andrew L. Rose, M.D.

  • Family Medicine Physician
  • Chester, VA
National Provider Identifier
1437186129
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101056036 Issued in VA
Practice address
11601 Iron Bridge Rd
Suite 117
Chester, VA 23831-1466
Phone
(804) 717-5300
Fax
(804) 748-7269
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101056036 VA Primary

Addresses

Primary practice location

11601 Iron Bridge Rd
Suite 117
Chester, VA 23831-1466

Mailing address

11601 Iron Bridge Rd
Suite 117
Chester, VA 23831-1466
Phone (804) 717-5300

Other identifiers 10

IdentifierTypeStateIssuer
258474OtherVAMAMSI
005630231MedicaidVA
5454581OtherVAAETNA HMO
7533015OtherVACIGNA
C09633OtherVAGROUP PTAN
080121622OtherVARAILROAD MEDICARE
43447OtherVASENTARA
5454581OtherVAAETNA LIFE
333344OtherVAANTHEM BCBS OF VA
78955OtherVASOUTHERN HEALTH SERVICES

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
I20080305000261 VA Practitioner - Family Practice 9436234135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

11601 Iron Bridge Rd
Suite 117
Chester, VA 23831-1467
Phone (804) 717-5300

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • James River Home Health Agency Home health agency, Richmond, VA, CCN 497706
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Francis Medical Center LLC CurrentSince Feb 1, 2012 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Mar 18, 2020 Accepting new patients
Bon Secours St. Francis Medical Center LLC Current Accepting new patients
Bon Secours St. Francis Medical Center Inc CurrentSince Feb 1, 2012 Accepting new patients
Bon Secours St. Francis Medical Center LLC Family Medicine Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC Past Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients

Locations

11601 Iron Bridge Rd
Ste 117
Chester, VA 23831
Phone (804) 521-9301

11601 Iron Bridge Rd
Ste 201
Chester, VA 23831
Phone (804) 495-5826

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Interoperability endpoints

  • Direct secure messaging: arose1155195@direct.bsmhealth.org

Organizations & group practices 10

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1437186129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 117",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-717-5300",
            "fax_number": "804-748-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 117",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-717-5300",
            "fax_number": "804-748-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANDREW",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101056036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "258474",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005630231",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "5454581",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7533015",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080121622",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "43447",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE",
            "identifier": "5454581",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "333344",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "78955",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.