Richard S. Pergolizzi, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

0101231383 Issued in VA

Practice address

2602 Buford Rd
North Chesterfield, VA 23235

Phone

(804) 272-8806

Fax

(804) 272-2909

NPI assigned

Jul 11, 2006

Last updated

Aug 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 3

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 RadiologyAlso: Interventional Radiology

Education

Northeastern Ohio University College of Medicine, 1993

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)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72832

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.

• Radiology Associates of Richmond Inc

  • Diagnostic Radiology Physician
  • Richmond, VA
  • NPI 1447297577

  Nuclear Radiology

  Medicare reassignment Care Compare group NPD
• Fair Oaks Imaging Center, PC

  • Diagnostic Radiology Physician
  • Fairfax, VA
  • NPI 1063437903

  DC

  Medicare reassignment NPD
• Integrated Neurology Services

  • Medical Specialty Clinic/Center
  • Alexandria, VA
  • NPI 1699953810

  DC

  Medicare reassignment NPD
• Loudoun Imaging Center/Ashburn, LLC

  • Radiology Clinic/Center
  • Ashburn, VA
  • NPI 1568615094

  Diagnostic Radiology

  Medicare reassignment NPD
• MRI of Reston, LP

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1164447025

  DC

  Medicare reassignment NPD
• Pet of Reston, LP

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1922024041

  DC

  Medicare reassignment NPD
• Radiology Consultants of Lynchburg Inc

  • Radiology Clinic/Center
  • Lynchburg, VA
  • NPI 1922037043
  Medicare reassignment NPD
• Reston Radiology Consultants, PC

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1235307034

  DC

  Medicare reassignment NPD
• Appomattox Imaging LLC

  • Radiology Clinic/Center
  • Colonial Heights, VA
  • NPI 1073713855

  Diagnostic Radiology

  NPD
• Chesterfield Imaging LLC

  • Radiology Clinic/Center
  • Midlothian, VA
  • NPI 1538116108
  NPD
• Short Pump Imaging LLC

  dba Independence Park Imaging

  • Radiology Clinic/Center
  • Richmond, VA
  • NPI 1982651543
  NPD
• Healthqare Services ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Arlington, VA
  • NPI 1336649714
  NPD (past)

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

• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  dba TriCities Hospital

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248
  Care Compare affiliation
• HCA Health Services of Virginia Inc

  dba Henrico Doctors' Hospital

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1194762294
  Care Compare affiliation
• Spotsylvania Medical Center Inc

  dba Spotsylvania Regional Medical Center

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1376876664
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1053345256",
    "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",
            "fax_number": "804-272-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2722 Merrilee Dr",
            "address_2": "#230",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314400",
            "country_code": "US",
            "telephone_number": "703-698-0056 x14763",
            "fax_number": "703-573-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2722 Merrilee Dr",
            "address_2": "#230",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314400",
            "country_code": "US",
            "telephone_number": "703-698-0056 x14763",
            "fax_number": "703-573-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERGOLIZZI",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101231383",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101231383",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101231383",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101231383",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101231383",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101231383",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101231383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053345256",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2680623",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0060",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonia Denise Pegram, CNA
• Carrie Marie Peltz, M.D.
• Damon Percy
• Richard Perez, RBT
• Perfect Hearts LLC
• Carli Anne Perkins
• Keisha Perkins, PT, DPT, ATC
• Jennifer Perkinson, LPC
• Alexandra Elizabeth Perl
• Sara Marie Perran, NP

• Vascular & Interventional Radiology Physician in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Vascular & Interventional Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.