Active NPI
Andrew P. Metinko, M.D.
- Pediatric Critical Care Medicine Physician
- Charlottesville, VA
National Provider Identifier
1740279603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 0101243636
- Practice address
- Lee St FL 7
Charlottesville, VA 22908-0001 - Phone
- (434) 924-1701
- Fax
- (434) 924-5244
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD424916L | PA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 0101243636 | VA | Primary |
Addresses
Primary practice location
Lee St FL 7
Charlottesville, VA 22908-0001
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740279603 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD424916L | PA | MD | Pediatric Critical Care Medicine Physician |
| 0101243636 | VA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients |
Locations
3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000
Interoperability endpoints
- hscametink@yourcarecommunity.org
Organizations & group practices 3
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.
-
dba Shriners Children's Philadelphia
- Pediatric Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1659615706
-
dba Shriners Children's Hawaii
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1740279603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LEE ST FL 7",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-924-1701",
"fax_number": "434-924-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METINKO",
"first_name": "ANDREW",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PA",
"license": "MD424916L",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "VA",
"license": "0101243636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740279603",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.