Jorge Roberto Andrade, MD, MBA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D55595 Issued in MD

Practice address

12500 Willowbrook Rd
Cumberland, MD 21502-6393

Phone

(240) 964-8760

Fax

(240) 964-8769

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, WV3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Obstetrics/Gynecology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Community Health Center IncGroup PAC ID 9335057355, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hancock, MD
  • NPI 1366491201

  MD

  Medicare reassignment Care Compare group NPD
• Adventist Physician Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Gaithersburg, MD
  • NPI 1376623207

  DC

  Medicare reassignment NPD
• Pediatrix Medical Group of the Mid-Atlantic PC

  • Maternal & Fetal Medicine Physician
  • Rockville, MD
  • NPI 1205859691

  DC

  Medicare reassignment NPD
• Upmc Western Maryland Corporation

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1184769952

  MD

  Medicare reassignment NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1447976584

  MD

  Medicare reassignment NPD
• Obhg West Virginia Corp

  • Obstetrics & Gynecology Physician
  • Martinsburg, WV
  • NPI 1972290666

  Obstetrics & Gynecology, WV

  Medicare reassignment NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Cumberland, MD
  • NPI 1467401372
  Care Compare group NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1083055081
  Care Compare group NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Cumberland, MD
  • NPI 1457301939
  Care Compare group
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • McConnellsburg, PA
  • NPI 1932159464
  Care Compare group
• Upmc Western Maryland Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592
  NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764

  Obstetrics & Gynecology

  NPD

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

• Upmc Western Maryland Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1609831247

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Hearing and Speech Clinic/Center
  • Cumberland, MD
  • NPI 1740969245

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Clinic/Center
  • Cumberland, MD
  • NPI 1780251850

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1619973914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026393",
            "telephone_number": "240-964-8760",
            "fax_number": "240-964-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Wilkens Ave",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212295213",
            "country_code": "US",
            "telephone_number": "410-644-1454",
            "fax_number": "410-525-8645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12502 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026491",
            "country_code": "US",
            "telephone_number": "240-964-8760",
            "fax_number": "240-964-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "JORGE",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D55595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adonna Anderson
• Ariel P Anderson, CNA
• Meghan Anderson, MD
• Andrea Holmes Harpold
• Anil K Singh MD PA
• Elizabeth Marie Anselmino, CRNA
• Fidini Hayati Antoni, M.D.
• Javeria Anwar

• All providers in Cumberland, MD
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.