Individual provider Active NPI

Rachel Anne Lagos, DO

  • Diagnostic Radiology Physician
  • Erie, PA
National Provider Identifier
1043473036
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS018369 Issued in PA
Practice address
201 State St
Erie, PA 16550-2421
Phone
(814) 877-6182
Fax
(814) 877-6149
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102206770 VA
Diagnostic Radiology Physician 2085R0202X OS018369 PA Primary
Diagnostic Radiology Physician 2085R0202X H82211 MD

Addresses

Primary practice location

201 State St
Erie, PA 16550-2421

Mailing address

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, HI, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161003002276 MD Practitioner - Diagnostic Radiology 1951698141 Reassigns benefits to 5 organizations
I20210111002155 HI Practitioner - Diagnostic Radiology 1951698141 Reassigns benefits to 1 organization
I20210112000157 NC Practitioner - Diagnostic Radiology 1951698141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite Ll100
Prince Frederick, MD 20678-4029
Phone (410) 535-4111

13509 Summer Hill Dr
Phoenix, MD 21131-1609
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102206770VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Chesapeake Open MRI L L C Diagnostic Radiology CurrentSince Dec 7, 2016 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Jan 4, 2022 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

122 Defense Hwy
Ste 102
Annapolis, MD 21401

4201 Northview Dr
Ste 105
Bowie, MD 20716
Phone (301) 262-8282

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

401 Purdy St
Ste 104
Easton, MD 21601
Phone (410) 822-1888

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

230 W Dares Beach Rd
Ste 100
Prnc Frederck, MD 20678
Phone (301) 855-9754

11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718

720 Newman Rd
New Bern, NC 28562
Phone (252) 638-3885

3120 Princeton Pike
Lawrenceville, NJ 08648
Phone (570) 558-6858

2501 Kuser Rd
Trenton, NJ 08691
Phone (609) 587-4777

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1043473036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165502421",
            "telephone_number": "814-877-6182",
            "fax_number": "814-877-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOS",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102206770",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS018369",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "H82211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.