Advanced Radiology P a
Organization Active NPI Diagnostic Radiology Physician · Annapolis, MD
NPI 1033074976 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1033074976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ADVANCED RADIOLOGY P A
- Practice address
- 600 Ridgely Ave Ste 100
Annapolis, MD 21401-1001 - Phone
- (443) 436-1100
- Fax
- (443) 436-1256
- NPI assigned
- Dec 23, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED RADIOLOGY P A
Authorized official
- Name
- Dr. David I Safferman, M.D.
- Title
- President & Ceo
- Phone
- (443) 436-1116
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 13
Practitioners 2
-
Eva Jeaneal Duckett, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420001334 | MD | Part B Supplier - Clinic/Group Practice | 1254327950 |
Receives reassigned benefits from 133 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Anant Kusakull
- Part of
- Anant Kusakull
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician |
207U00000X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
600 Ridgely Ave Ste 100
Annapolis, MD 21401-1001
Mailing address
10461 Mill Run Cir Ste 1020
Owings Mills, MD 21117-5544
Phone (443) 436-1100
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All providers in Annapolis, MD · Diagnostic Radiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.