Individual provider Active NPI

Jennifer L. Vanderbeck, MD

  • Orthopaedic Surgery Physician
  • Richmond, VA
National Provider Identifier
1679781769
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101265012 Issued in VA
Practice address
417 N 11TH St
Richmond, VA 23298-5002
Phone
(804) 828-7069
Fax
(804) 828-4762
NPI assigned
May 20, 2007
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101265012 VA Primary

Addresses

Primary practice location

417 N 11TH St
Richmond, VA 23298-5002

Mailing address

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

Other practice location 1

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669

Other practice location 2

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8945

Other practice location 3

1300 W Broad St Ste 113
Richmond, VA 23284-9089
Phone (804) 828-7069

Other practice location 4

1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-7069

Other names 1

  • Jennifer L Cirello Former name

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
I20181220003396 VA Practitioner - Orthopedic Surgery 3173618188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-6641

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)47
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians Orthopaedic Surgery CurrentSince Oct 1, 2018 Accepting new patients
Cumberland Orthopedic Professional Association Orthopaedic Surgery PastSince Nov 1, 2009 Accepting new patients

Locations

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

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

1300 W Broad St
Ste 113
Richmond, VA 23284
Phone (804) 828-0822

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

417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

332 N Henry St
Williamsburg, VA 23185
Phone (757) 220-1246

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 9

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1679781769",
    "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": "417 N 11TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985002",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-360-4669",
            "fax_number": "804-364-6557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-560-8945",
            "fax_number": "804-560-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Broad St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232849089",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-0354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERBECK",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101265012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CIRELLO",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.