Brendan L Waters, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0102201725 Issued in VA

Practice address

2300 Opitz Blvd
Dept of Radiology
Woodbridge, VA 22191

Phone

(703) 607-1561

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ifrc LLCGroup PAC ID 2961829882, 135 clinicians

Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Inova Reston MRI Center LLCGroup PAC ID 2961540042, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
• Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as group

Quality

0

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

28.96 of 100Reported as group

Quality

16.43

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

67.5 of 100Reported as group

Quality

58.12

Improvement activities

40

Cost

68.45

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fairfax Radiological Consultants

  • Specialist
  • Falls Church, VA
  • NPI 1114902509

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Ifrc, LLC

  • Radiology Clinic/Center
  • Fairfax, VA
  • NPI 1508405317

  DC

  Medicare reassignment Care Compare group NPD
• Inova Reston MRI Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Herndon, VA
  • NPI 1972838993

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Image Guided Pain Management, P.C.

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1831404284
  Medicare reassignment NPD
• Association of Alexandria Radiologists, P.C.

  • Diagnostic Radiology Physician
  • Alexandria, VA
  • NPI 1013935709
  Medicare reassignment
• Inova Health Care Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Falls Church, VA
  • NPI 1568593440
  NPD
• Inova Reston MRI Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Centreville, VA
  • NPI 1417674821
  NPD
• Inova Reston MRI Center LLC

  • Radiology Clinic/Center
  • Falls Church, VA
  • NPI 1619265766
  NPD
• Potomac Radiology & Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Woodbridge, VA
  • NPI 1508838624
  NPD (past)
• American Health Imaging of Georgia, LLC

  • Radiology Clinic/Center
  • Rome, GA
  • NPI 1063129401
  NPD (past)
• Quantum Medical Radiology PC

  • Diagnostic Radiology Physician
  • Smyrna, GA
  • NPI 1164475869
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation
• Inova Health Care Services

  • Psychiatric Hospital Unit
  • Leesburg, VA
  • NPI 1285786228
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Leesburg, VA
  • NPI 1376564302
  Care Compare affiliation
• Inova Health Care Services

  • Rehabilitation Hospital Unit
  • Falls Church, VA
  • NPI 1588795462
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Falls Church, VA
  • NPI 1831220714
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1043200579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FRANKLIN ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143868",
            "telephone_number": "215-432-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-607-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "BRENDAN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102201725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Orthopaedic & Spine Institute
• Andrea Louise Washington, RDH
• Krystilyn Washington, M.D
• Khalid Wasimuddin, MD
• Lisa Michelle Waterman, COTA
• Judith Watiti
• Summer D Watson, PHD
• Waves Health Connect LLC
• Elaha Waziry
• We Care Support Services, LLC

• Diagnostic Radiology Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.