Individual provider Active NPI

Sandra Allison

  • Body Imaging Physician
  • Washington, DC
National Provider Identifier
1093713182
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
33584 Issued in DC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-3400
NPI assigned
Jul 12, 2005
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 33584 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

PO Box 418283
Boston, MA 02241-8283
Phone (703) 558-1544

Other identifiers 4

IdentifierTypeStateIssuer
7242026MedicaidVA
299105501MedicaidMD
300131925OtherMEDICARE RAILROAD
034238100MedicaidDC

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
I20110601000854 DC Practitioner - Diagnostic Radiology 1254235104 Reassigns benefits to 1 organization
I20131112000580 VA Practitioner - Diagnostic Radiology 1254235104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Suite 110
Arlington, VA 22201-4751
Phone (703) 280-1410

10215 Fernwood Rd
Bethesda, MD 20817-1183

1145 19TH St NW
Suite 200
Washington, DC 20036-3737
Phone (571) 388-2754

21351 Ridgetop Cir
Suite 100
Sterling, VA 20166-6608
Phone (571) 434-0140

2141 K St NW
Suite 200
Washington, DC 20037-1876
Phone (202) 223-9723

3022 Williams Dr
Fairfax, VA 22031-4600
Phone (703) 698-8800

3301 New Mexico Ave NW
Suite 132
Washington, DC 20016-3622
Phone (202) 966-0606

4445 Willard Ave
Suite 200
Chevy Chase, MD 20815-3696
Phone (301) 654-4242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33584DCMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Assoc PLLC CurrentSince Oct 14, 2013 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Oct 14, 2013 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Oct 14, 2013 Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients

Locations

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133

21351 Ridgetop Cir
Ste 100
Sterling, VA 20166
Phone (571) 434-0140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1093713182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418283",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418283",
            "telephone_number": "703-558-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "DC",
            "license": "33584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7242026",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299105501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "300131925",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034238100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.