NPIMap

Organization Active NPI

Community Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Clinton, MD
National Provider Identifier
1104640754
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COMMUNITY RADIOLOGY ASSOCIATES INC
Practice address
8926 Woodyard Road
Suites 301 & 401
Clinton, MD 20735-4232
Phone
(888) 601-3664
Fax
(301) 662-5870
NPI assigned
Nov 11, 2024
Organization subpart
Yes
Parent organization
COMMUNITY RADIOLOGY ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Albert Victor Porambo, MD
Title
President
Phone
(301) 774-4764

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

8926 Woodyard Road
Suites 301 & 401
Clinton, MD 20735-4232

Mailing address

10461 Mill Run Cir Ste 1020
Owings Mills, MD 21117-5544
Phone (443) 436-1221

Other names 1

  • CRA - Heritage Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000769 DC Part B Supplier - Clinic/Group Practice 5991692444 Receives reassigned benefits from 79 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Olney, MD; Potomac, MD; Rockville, MD; Silver Spring, MD; Silver Springs, MD; Upper Marlboro, MD; Vienna, VA; Washington, DC…

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Community Radiology Spe28 organizations share this tax ID, including this one
Part of
Community Radiology Spe

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1104640754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 MILL RUN CIR STE 1020",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175544",
            "telephone_number": "443-436-1221",
            "fax_number": "443-436-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD ROAD",
            "address_2": "SUITES 301 & 401",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354232",
            "telephone_number": "888-601-3664",
            "fax_number": "301-662-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RADIOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY RADIOLOGY ASSOCIATES INC",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "PORAMBO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-774-4764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRA - Heritage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.