Individual provider Active NPI

Jeffrey Budrovic II

  • Certified Registered Nurse Anesthetist
  • Richmond, VA
National Provider Identifier
1558752287
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024172613 Issued in VA
Practice address
1250 E Marshall St
Anesthesiology Department
Richmond, VA 23298-5051
Phone
(804) 628-6990
Fax
(804) 628-6932
NPI assigned
Feb 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024172613 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Anesthesiology Department
Richmond, VA 23298-5051

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other practice location 1

5424 Discovery Park Boulevard
Building A, Suite 101
Williamsbury, VA 23188
Phone (757) 707-3505

Other practice location 2

860 Omni Blvd Ste 104
Newport News, VA 23606-4430
Phone (757) 659-6285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831002174 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032425426 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians

Practice addresses (Care Compare)

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

8266 Atlee Rd
Suite 133
Mechanicsville, VA 23116-1805
Phone (804) 285-8206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0024172613VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Gastroenterology Associates, Inc. CurrentSince Feb 1, 2025 Accepting new patients
MCV Associated Physicians CurrentSince Jul 5, 2015 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Oct 1, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Oct 1, 2022 Accepting new patients
Gastrointestinal Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients

Locations

8266 Atlee Rd
Ste 133
Mechanicsville, VA 23116
Phone (804) 730-0792

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

860 Omni Blvd
Ste 104
Newport News, VA 23606
Phone (757) 659-6285

827 Diligence Dr
Ste 100
Newport News, VA 23606

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1558752287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "ANESTHESIOLOGY DEPARTMENT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-628-6990",
            "fax_number": "804-628-6932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5424 Discovery Park Boulevard",
            "address_2": "Building A, Suite 101",
            "address_purpose": "LOCATION",
            "city": "Williamsbury",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-707-3505",
            "fax_number": "757-707-3506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Omni Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064430",
            "country_code": "US",
            "telephone_number": "757-659-6285",
            "fax_number": "757-782-4426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDROVIC",
        "first_name": "JEFFREY",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024172613",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 4, 2023; 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.