Individual provider Active NPI

Brooke Alexandra Dadds, PA-C

  • Physician Assistant
  • Chestertown, MD
National Provider Identifier
1497416630
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008861 Issued in VA
Practice address
600 Hoffecker Rd
Chestertown, MD 21620-1972
Phone
(443) 786-3913
NPI assigned
Jan 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110008861 VA Primary

Addresses

Primary practice location

600 Hoffecker Rd
Chestertown, MD 21620-1972

Mailing address

600 Hoffecker Rd
Chestertown, MD 21620-1972
Phone (443) 786-3913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221214002095 VA Practitioner - Physician Assistant 6507235512 Reassigns benefits to 4 organizations
I20221217000033 DC Practitioner - Physician Assistant 6507235512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.87 of 100Reported as group
Quality
95.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110008861VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2022 Accepting new patients
Short Pump Family Care, LLC PastSince Feb 1, 2016 Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Organizations & group practices 8

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": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1497416630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOFFECKER RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201972",
            "telephone_number": "443-786-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOFFECKER RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201972",
            "telephone_number": "443-786-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADDS",
        "first_name": "BROOKE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.