Organization Active NPI

Association of Alexandria Radiologists, P.C.

  • Diagnostic Radiology Physician
  • Alexandria, VA
National Provider Identifier
1013935709
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ASSOCIATION OF ALEXANDRIA RADIOLOGISTS, P.C.
Practice address
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone
(703) 504-3000
Fax
(703) 504-7616
NPI assigned
Jul 18, 2006
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Robin Jervis
Title
Executive Assistant
Phone
(703) 824-3215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

4320 Seminary Rd
Alexandria, VA 22304-1535

Mailing address

8001 Forbes PL
Suite 103
Springfield, VA 22151-2208
Phone (703) 824-3210

Other practice location 1

8001 Forbes Pl
Suite 103
Springfield, VA 22151-2208
Phone (703) 824-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, TN, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20041030000215 VA Part B Supplier - Clinic/Group Practice 4486567898 Receives reassigned benefits from 31 practitioners
Practice locations: Alexandria, VA; Woodbridge, VA; Virginia Beach, VA; Vienna, VA; Charlottesville, VA; Ashburn, VA; Arlington, VA
O20171208002711 FL Part B Supplier - Clinic/Group Practice 4486567898 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Mary, FL
O20180625001871 TN Part B Supplier - Clinic/Group Practice 4486567898 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesborough, TN; Signal Mountain, TN
O20210127003163 WA Part B Supplier - Clinic/Group Practice 4486567898 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA; Ridgefield, WA

National Provider Directory

National Provider Directory

Locations

171 Lawrence St
Eugene, OR 97401
Phone (541) 343-1887

2853 Duke St
Alexandria, VA 22314
Phone (703) 751-7200

4600 Kenmore Ave
Ste 525
Alexandria, VA 22304
Phone (703) 591-8020

2786 S Arlington Mill Dr
Arlington, VA 22206
Phone (703) 820-2775

8001 Forbes Pl
Ste 103
Springfield, VA 22151
Phone (703) 824-3200

8357 Leesburg Pike
Ste J
Vienna, VA 22182
Phone (571) 665-6400

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1013935709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FORBES PL",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512208",
            "telephone_number": "703-824-3210",
            "fax_number": "703-321-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SEMINARY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Forbes Pl",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221512208",
            "country_code": "US",
            "telephone_number": "703-824-3200",
            "fax_number": "703-824-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATION OF ALEXANDRIA RADIOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "JERVIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "703-824-3215"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.