Active NPI
Andrew J Aldridge, MD
- Surgery Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30031
- Practice address
- 77 W Forest Ave Ste 201
Flagstaff, AZ 86001-1483 - Phone
- (928) 773-2222
- Fax
- (928) 773-2598
- NPI assigned
- Mar 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30031 | AZ | Primary |
Addresses
Primary practice location
77 W Forest Ave Ste 201
Flagstaff, AZ 86001-1483
Mailing address
PO Box 31210
Flagstaff, AZ 86003-1210
Phone (928) 773-2222
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497724017 | Other | AZ | UHC |
| 1497724017 | Other | AZ | AZFMC |
| 1497724017 | Other | AZ | CIGNA |
| 1497724017 | Other | AZ | BCBS |
| 1497724017 | Other | AZ | HUMANA |
| 694332 | Medicaid | AZ | |
| 1497724017 | Other | AZ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (928) 289-4691
500 Indiana Ave
Winslow, AZ 86047-2169
500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646
77 W Forest Ave
Suite 201
Flagstaff, AZ 86001-1483
Phone (928) 773-2222
SWC Navajo Route 15 and 60
1 Medical Center Dr
Dilkon, AZ 86047-2169
Phone (928) 289-4646
Hospital & facility affiliations
- Flagstaff Medical Center
- Little Colorado Medical Center
- Verde Valley Medical Center
- Tuba City Regional Health Care Corporation
- Yavapai Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 24 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Family Medicine | Current | Accepting new patients |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Flagstaff Pathology Associates | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Surgery | Current | Accepting new patients |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Flagstaff Medical Center | Past | Accepting new patients |
Locations
340 S Willard St
Ste 201
Cottonwood, AZ 86326
Phone (928) 634-5551
340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
200 Lee St
Winslow, AZ 86047
Phone (928) 226-6400
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
1500 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-3396
500 Indiana Ave
Winslow, AZ 86047
Interoperability endpoints
- andrew.aldridge@fsa.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/BJDHBD
Organizations & group practices 9
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.
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- Surgical Critical Care Physician
- Flagstaff, AZ
- NPI 1114995271
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Anatomic Pathology & Clinical Pathology Physician
- Flagstaff, AZ
- NPI 1306205612
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1497724017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31210",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860031210",
"telephone_number": "928-773-2222",
"fax_number": "928-773-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 201",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011483",
"telephone_number": "928-773-2222",
"fax_number": "928-773-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRIDGE",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "30031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1497724017",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZFMC",
"identifier": "1497724017",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1497724017",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1497724017",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1497724017",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "694332",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1497724017",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.