Individual provider Active NPI

Norbertina L Banson, MD

  • Diagnostic Radiology Physician
  • Norfolk, VA
National Provider Identifier
1023008240
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101234092 Issued in VA
Practice address
835 Glenrock Rd
Ste 100a
Norfolk, VA 23502-3767
Phone
(757) 252-3370
Fax
(757) 252-3225
NPI assigned
Oct 27, 2005
Last updated
Dec 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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 0101234092 VA Primary

Addresses

Primary practice location

835 Glenrock Rd
Ste 100a
Norfolk, VA 23502-3767

Mailing address

835 Glenrock Rd
Ste 100a
Norfolk, VA 23502-3767
Phone (757) 252-3370

Other identifiers 2

IdentifierTypeStateIssuer
7248237MedicaidVA
P00006705OtherDCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100510000449 VA Practitioner - Diagnostic Radiology 3971631102 Reassigns benefits to 1 organization
I20140317000029 DC Practitioner - Diagnostic Radiology 3971631102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians

Practice addresses (Care Compare)

21351 Ridgetop Cir
Suite 100
Sterling, VA 20166-6608
Phone (571) 434-0140

3022 Williams Dr
Suite 200
Fairfax, VA 22031-4600
Phone (703) 698-8800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Associates, PLLC CurrentSince Feb 13, 2018 Accepting new patients
Washington Radiology Assoc PLLC CurrentSince Feb 13, 2018 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Feb 14, 2018 Accepting new patients

Locations

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133

3022 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 698-8800

21351 Ridgetop Cir
Ste 100
Sterling, VA 20166
Phone (571) 434-0140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1023008240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 GLENROCK RD",
            "address_2": "STE 100A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023767",
            "telephone_number": "757-252-3370",
            "fax_number": "757-252-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 GLENROCK RD",
            "address_2": "STE 100A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023767",
            "telephone_number": "757-252-3370",
            "fax_number": "757-252-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSON",
        "first_name": "NORBERTINA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101234092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7248237",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00006705",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.