Active NPI
Gregory S. Pudhorodsky, M.D.
- Rheumatology Physician
- Charlottesville, VA
National Provider Identifier
1962470658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 0101040630
- Practice address
- 650 Peter Jefferson Pkwy
Ste 190
Charlottesville, VA 22911-8844 - Phone
- (434) 296-6161
- Fax
- (434) 296-6538
- NPI assigned
- Mar 9, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101040630 | VA | |
| Rheumatology Physician | 207RR0500X | 0101040630 | VA | Primary |
Addresses
Primary practice location
650 Peter Jefferson Pkwy
Ste 190
Charlottesville, VA 22911-8844
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101040630 | VA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Arthritis Associates | Specialist | Current | Accepting new patients |
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Martha Jefferson Hospital | Past | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Past | Accepting new patients |
Locations
1410 Incarnation Dr
Ste 205
Charlottesvle, VA 22901
Phone (434) 296-6161
Organizations & group practices 4
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.
-
- Specialist
- Charlottesville, VA
- NPI 1144323262
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1962470658",
"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": "650 PETER JEFFERSON PKWY",
"address_2": "STE 190",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118844",
"telephone_number": "434-296-6161",
"fax_number": "434-296-6538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUDHORODSKY",
"first_name": "GREGORY",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101040630",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "VA",
"license": "0101040630",
"primary": true
}
],
"identifiers": [],
"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 Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.