Individual provider Active NPI

Robert Joseph Audet Jr., M.D.

  • Interventional Pain Medicine Physician
  • Weyers Cave, VA
National Provider Identifier
1659360311
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0101231993 Issued in VA
Practice address
54 Franklin St
Suite 104
Weyers Cave, VA 24486-2340
Phone
(540) 234-0080
Fax
(540) 234-8688
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 0101231993 VA Primary

Addresses

Primary practice location

54 Franklin St
Suite 104
Weyers Cave, VA 24486-2340

Mailing address

PO Box 39
Weyers Cave, VA 24486-0039
Phone (540) 234-0080

Other identifiers 7

IdentifierTypeStateIssuer
541945667001OtherVATRICARE
2245111000OtherVADOL
10696714OtherVAVALLEY HEALTH PLAN
462584OtherVAANTHEM
0152971OtherVACIGNA
207918OtherVASOUTHERN HEALTH
462584OtherVAANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000375 VA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 1658554589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
New York Medical College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Franklin St
Suite 104
Weyers Cave, VA 24486-2340
Phone 5402340080102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Bartholomew Group PC Interventional Pain Medicine CurrentSince Mar 19, 2003 Accepting new patients
Anesthesiology Associates of Eastern Connecticut, P.C Past Accepting new patients

Locations

54 Franklin St
Ste 104
Weyers Cave, VA 24486
Phone (540) 234-0080

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 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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1659360311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "WEYERS CAVE",
            "state": "VA",
            "postal_code": "244860039",
            "telephone_number": "540-234-0080",
            "fax_number": "540-234-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FRANKLIN ST",
            "address_2": "SUITE 104",
            "city": "WEYERS CAVE",
            "state": "VA",
            "postal_code": "244862340",
            "telephone_number": "540-234-0080",
            "fax_number": "540-234-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDET",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101231993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541945667001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "2245111000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLAN",
            "identifier": "10696714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "462584",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0152971",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "207918",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "462584",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weyers Cave, VA

Sources for this page

Verify at the official NPI Registry.