NPIMap

Organization Active NPI

Diagnostic Imaging Associates

  • Diagnostic Radiology Physician
  • Richlands, VA
National Provider Identifier
1114012671
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101030628 Issued in VA
Legal business name
DIAGNOSTIC IMAGING ASSOCIATES
Practice address
6108 Gov. G.C. Peery Hwy
Richlands, VA 24641
Phone
(276) 325-0461
Fax
(276) 325-0469
NPI assigned
Oct 3, 2006
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
M R Ramakrishnan, M.D.
Title
Owner
Phone
(276) 325-0461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 0101030628 VA Primary

Addresses

Primary practice location

6108 Gov. G.C. Peery Hwy
Richlands, VA 24641

Mailing address

1745 Valley View Drive
Big Stone Gap, VA 24219
Phone (276) 325-0461

Other practice location 1

100 Main St
St. Charles, VA 24282
Phone (276) 325-0461

Other practice location 2

111 Fashion Rd Ste D
Pounding Mill, VA 24637-1200
Phone (276) 325-0461

Other practice location 3

One Clinic Dr.
Richlands, VA 24641-1102
Phone (276) 325-0461

Other practice location 4

1107 Riverview St
Grundy, VA 24614-9481
Phone (276) 325-0461

Other identifiers 1

IdentifierTypeStateIssuer
65928798MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050106000306 VA Part B Supplier - Clinic/Group Practice 7012965098 Receives reassigned benefits from 2 practitioners
Practice locations: Richlands, VA; Saint Charles, VA; Lebanon, VA; Big Stone Gap, VA; Honaker, VA; Grundy, VA; Pounding Mill, VA

National Provider Directory

National Provider Directory

Locations

110 15TH St
Norton, VA 24273
Phone (540) 679-1623

6108 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 325-0461

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1114012671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 VALLEY VIEW DRIVE",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "24219",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 GOV. G.C. PEERY HWY",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Main St",
            "address_purpose": "LOCATION",
            "city": "St. Charles",
            "state": "VA",
            "postal_code": "24282",
            "country_code": "US",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Fashion Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Pounding Mill",
            "state": "VA",
            "postal_code": "246371200",
            "country_code": "US",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Clinic Dr.",
            "address_purpose": "LOCATION",
            "city": "Richlands",
            "state": "VA",
            "postal_code": "246411102",
            "country_code": "US",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "246149481",
            "country_code": "US",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "RAMAKRISHNAN",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-325-0461",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101030628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928798",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.