Individual provider Active NPI

Pankaj Kaushal, M.D.

  • Vascular & Interventional Radiology Physician
  • Fairfax, VA
National Provider Identifier
1114260148
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D87898 Issued in MD
Practice address
8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636
Phone
(703) 698-4444
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D87898 MD
Vascular & Interventional Radiology Physician 2085R0204X D87898 MD Primary

Addresses

Primary practice location

8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636

Mailing address

2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806

Other practice location 1

1655 Woodbrooke Dr
Salisbury, MD 21804
Phone (240) 328-0609

Other practice location 2

2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806 ext. 321

Other practice location 3

22 S Greene St
Room N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, VA, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190830000470 MD Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0840528717 Reassigns benefits to 2 organizations
I20191023000330 DE Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0840528717 Reassigns benefits to 1 organization
I20210422000052 VA Practitioner - Diagnostic Radiology 0840528717 Reassigns benefits to 3 organizations
I20230120000254 DC Practitioner - Diagnostic Radiology 0840528717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2013
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

Practice addresses (Care Compare)

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

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

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

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

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

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

4315 Chain Bridge Rd
Fairfax, VA 22030-3061
Phone (703) 698-4484

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

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

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
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.1 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ifrc, LLC CurrentSince Dec 30, 2022 Accepting new patients
Radiology Associates of Richmond Inc Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Peninsula Imaging L.L.C. Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Short Pump Imaging LLC CurrentSince Jan 1, 2022 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Dec 30, 2022 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Dec 30, 2022 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients
Inova Reston MRI Center LLC CurrentSince Dec 30, 2022 Accepting new patients
Chesterfield Imaging LLC CurrentSince Apr 1, 2011 Accepting new patients
Delmarva Radiology P.a. Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Inova Health Care Services CurrentSince Dec 30, 2022 Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100

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

219 S Washington St
Easton, MD 21601

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1655 Woodbrooke Dr
Ste 101
Salisbury, MD 21804
Phone (410) 749-1123

1655 Woodbrooke Dr
Salisbury, MD 21804
Phone (240) 328-0609

918 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 749-1123

930 South Ave
Ste 1
Colonial Hgts, VA 23834
Phone (804) 524-2340

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

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

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

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

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

19465 Deerfield Ave
Ste 105
Leesburg, VA 20176
Phone (703) 788-8426

2602 Buford Rd
North Chesterfield, VA 23235
Phone 8042728806 ext. 321

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Organizations & group practices 11

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 7

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1114260148",
    "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": "8505 ARLINGTON BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314636",
            "telephone_number": "703-698-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Woodbrooke Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "21804",
            "country_code": "US",
            "telephone_number": "240-328-0609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Buford Rd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232353422",
            "country_code": "US",
            "telephone_number": "804-272-8806 x321",
            "fax_number": "804-272-2909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUSHAL",
        "first_name": "PANKAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2023-10-18",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D87898",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D87898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.