Individual provider Active NPI

Ernestine Augusta Thomas, M.D.

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1063675726
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101269873 Issued in VA
Practice address
2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Phone
(703) 698-4483
Fax
(703) 204-0116
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT193435 PA
Diagnostic Radiology Physician 2085R0202X MT193435 PA
Diagnostic Radiology Physician 2085R0202X 0101269873 VA Primary

Addresses

Primary practice location

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400

Mailing address

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4483

Other practice location 1

200 Lothrop St
3950 Presby South Tower
Pittsburgh, PA 15213-2536
Phone (412) 647-7338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20200821000348 DC Practitioner - Diagnostic Radiology 9537309539 Reassigns benefits to 3 organizations
I20200827002072 VA Practitioner - Diagnostic Radiology 9537309539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2008
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)

100 Elden St
Suite 16
Herndon, VA 20170-4841
Phone (703) 698-4488

115 Park St SE
Suite 203
Vienna, VA 22180-4653
Phone (703) 698-4488

1600 N Beauregard St
Suite 200
Alexandria, VA 22311-1732
Phone (703) 698-4444

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

3833 Fairfax Dr
Suite 110
Arlington, VA 22203-1773
Phone (703) 698-4488

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6211 Centreville Rd
Suite 400
Centreville, VA 20121-2641
Phone (703) 698-4488

6355 Walker LN
Alexandria, VA 22310-3245
Phone (703) 698-4444

7799 Leesburg Pike
Suite 104S
Falls Church, VA 22043-2413
Phone (703) 893-2820

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (703) 204-8333

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 698-4444

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193435PAMDDiagnostic Radiology Physician
0101269873VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Aug 31, 2020 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients

Locations

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

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1063675726",
    "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": "703-698-4483",
            "fax_number": "703-204-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-204-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop St",
            "address_2": "3950 Presby South Tower",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132536",
            "country_code": "US",
            "telephone_number": "412-647-7338",
            "fax_number": "412-647-1137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ERNESTINE",
        "middle_name": "AUGUSTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT193435",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT193435",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101269873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.