NPIMap

Individual provider Active NPI

Colin Alexander Mudrick, MD

  • Orthopaedic Surgery Physician
  • Richmond, VA
National Provider Identifier
1568699841
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101258423 Issued in VA
Practice address
1501 Maple Ave
Suite 200, NW Mob
Richmond, VA 23226-2553
Phone
(804) 285-2300
Fax
(804) 285-8420
NPI assigned
Jun 15, 2009
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2014-00777 NC
Orthopaedic Surgery Physician 207X00000X 0101258423 VA Primary

Addresses

Primary practice location

1501 Maple Ave
Suite 200, NW Mob
Richmond, VA 23226-2553

Mailing address

PO Box 71690
Richmond, VA 23255-1690
Phone (804) 288-2830

Other identifiers 1

IdentifierTypeStateIssuer
1568699841MedicaidVA

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
I20151026000781 VA Practitioner - Orthopedic Surgery 1153561980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Virginia Commonwealth Univ School of Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

1501 Maple Ave
Richmond, VA 23226-2553

1510 N 28TH St
Richmond, VA 23223-5311

3000 G Stony Point Rd
Richmond, VA 23235-2349
Phone (804) 877-0008

3400 Haydenpark LN
Henrico, VA 23233-7867
Phone (804) 285-2300

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

8220 Meadowbridge Rd
Suite 202
Mechanicsville, VA 23116-2340
Phone (804) 285-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.43 of 100Reported as individual
Quality
57.88
Promoting interoperability
100
Improvement activities
40
Cost
70.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement89
Knee replacement169
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-00777NCMDOrthopaedic Surgery Physician
0101258423VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC Single Specialty CurrentSince Nov 8, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery CurrentSince Nov 8, 2021 Accepting new patients

Locations

1501 Maple Ave
Ste 101A
Richmond, VA 23226
Phone 80428523001191

1501 Maple Ave
Ste 200
Richmond, VA 23226

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: cmudrick1154006@direct.bsmhealth.org
  • Direct secure messaging: colinmudrick@toa.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1568699841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71690",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232551690",
            "telephone_number": "804-288-2830",
            "fax_number": "804-288-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAPLE AVE",
            "address_2": "SUITE 200, NW MOB",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262553",
            "telephone_number": "804-285-2300",
            "fax_number": "804-285-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDRICK",
        "first_name": "COLIN",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2014-00777",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101258423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568699841",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.