Individual provider Active NPI

Richard Westwood Fuller, M.D.

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1013963826
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
101046516 Issued in VA
Practice address
2602 Buford Rd
Richmond, VA 23235-3422
Phone
(804) 272-8806
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 101046516 VA Primary

Addresses

Primary practice location

2602 Buford Rd
Richmond, VA 23235-3422

Mailing address

2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806

Other identifiers 1

IdentifierTypeStateIssuer
7241089MedicaidVA

Other names 1

  • R. Westwood Fuller Other 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
I20040527000519 VA Practitioner - Diagnostic Radiology 6305827114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Richmond IncGroup PAC ID 9830088434, 70 clinicians

Practice addresses (Care Compare)

13636 Hull St Rd
Midlothian, VA 23112-2108
Phone (804) 272-8806

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 272-8806

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 272-8806

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 272-8806

4200 Greybull Dr
Suite 100
Richmond, VA 23233-7555
Phone (804) 272-8806

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (804) 272-8806

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 272-8806

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (804) 272-8806

930 S Ave
Suite 1
Colonial Heights, VA 23834-3620
Phone (804) 272-8806

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
  • Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101046516VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Imaging LLC CurrentSince Apr 1, 2011 Accepting new patients
Radiology Consultants of Lynchburg Inc CurrentSince Dec 1, 2022 Accepting new patients
Wahoo Radiology, PLLC Diagnostic Radiology Past Accepting new patients
Richmond West End Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

113 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-4004

Organizations & group practices 5

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 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1013963826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RICHARD",
        "middle_name": "WESTWOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "101046516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7241089",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "FULLER",
            "middle_name": "WESTWOOD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.