Fairfax Radiological Consultants
Organization Active NPI Specialist · Falls Church, VA
NPI 1114902509 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1114902509
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- FAIRFAX RADIOLOGICAL CONSULTANTS
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 698-4483
- Fax
- (703) 204-0116
- NPI assigned
- Dec 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Kim Masters
- Title
- Chief Operating Officer
- Phone
- (703) 698-4444
Other NPIs on the same Medicare enrollment 2
Practitioners 243
-
Monica Nassi Abghari, M.D.
-
William Matthew Astor, M.D.
-
Melany Beth Atkins, M.D.
-
Amit Bakri, M.D.
-
Marilyn Barry-Brooks, M.D.
-
Elise L. Berman, MD
-
Deborah Blair, M.D.
-
Leslie A Bord, MD
-
Brigid G Castro, M.D.
-
Natalie Ghia Chan, M.D.
-
Raymond Chang, MD
-
Jing Selia Chen, M.D.
-
Sun Chen, MD
-
Yibo Chen, MD
-
Brian K Choi, MD
-
James Mark Cooper, M.D.
-
Paul James Cunningham, M.D.
-
Sharon Dheureux, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in VA, DC, NC, MD, CA, MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000043 | VA | Part B Supplier - Clinic/Group Practice | 8628970324 |
Receives reassigned benefits from 188 practitioners Practice locations: Potomac, MD; Leesburg, VA; Chantilly, VA; Gainesville, VA; Ashburn, VA |
| O20060404000840 | DC | Part B Supplier - Clinic/Group Practice | 8628970324 |
Receives reassigned benefits from 192 practitioners 2 other NPIs on this enrollment Practice locations: Washington, DC; Reston, VA; Potomac, MD; MC Lean, VA; Lorton, VA; Falls Church, VA; Fairfax, VA; Clarksburg, MD… |
| O20251024002179 | NC | Part B Supplier - Clinic/Group Practice | 8628970324 |
Receives reassigned benefits from 2 practitioners Practice locations: Durham, NC; Charlotte, NC |
| O20251103002372 | MD | Part B Supplier - Clinic/Group Practice | 8628970324 |
Receives reassigned benefits from 9 practitioners Practice locations: Hagerstown, MD; Frederick, MD; Glenelg, MD; Baltimore, MD |
| O20251114000476 | CA | Part B Supplier - Clinic/Group Practice | 8628970324 |
Receives reassigned benefits from 1 practitioner Practice locations: San Diego, CA |
| O20260615001955 | MI | Part B Supplier - Clinic/Group Practice | 8628970324 |
Receives reassigned benefits from 1 practitioner Practice locations: Farmington Hills, MI |
National Provider Directory
Locations
5641 Stone Rd
Centreville, VA 20120
Phone (703) 266-3800
24801 Pinebrook Rd
Ste 100B
Chantilly, VA 20152
Phone (703) 698-4484
8081 Innovation Park Dr
#204
Fairfax, VA 22031
8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600
8081 Innovation Park Dr
Bldg B3
Fairfax, VA 22031
8505 Arlington Blvd
Ste 130
Fairfax, VA 22031
Phone (703) 691-0606
8506 Arlington Blvd Ste 200
Fairfax, VA 22031
8081 Innovation Park Dr
Fl 3
Fairfax, VA 22031
Phone (571) 472-1660
8081 Innovation Park Dr
#3
Fairfax, VA 22031
100 Elden St
#16M
Herndon, VA 20170
Phone (703) 481-9400
11901 Baron Cameron Ave
#101
Reston, VA 20190
5510 Alma Ln
Ste 100
Springfield, VA 22151
Phone (703) 698-4485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
8260 Willow Oaks Corporate Dr Ste 750
Fairfax, VA 22031-4523
Phone (703) 698-4483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224404 | Other | VA | ANTHEM BCBS |
| 231506 | Other | VA | ANTHEM BCBS |
| 089016 | Other | VA | ANTHEM BCBS |
| 089072 | Other | VA | ANTHEM BCBS |
| 189293 | Other | VA | ANTHEM BCBS |
| 2325664 | Other | VA | UNITED HEALTH CARE |
| 8560910 | Other | AETNA NON HMO | |
| 484920 | Other | NCPPO | |
| 6558011 00 | Medicaid | MD | |
| 115091 | Other | VA | ANTHEM BCBS |
| 189288 | Other | VA | ANTHEM BCBS |
| 234149 | Other | VA | ANTHEM BCBS |
| 033140 | Other | VA | ANTHEM BCBS |
| 100497 | Other | KAISER | |
| 231507 | Other | VA | ANTHEM BCBS |
| 258371 | Other | VA | ANTHEM BCBS |
| 258372 | Other | VA | ANTHEM BCBS |
| 3995 | Other | CAREFIRST | |
| 033140 | Other | VA | ANTHEM |
| 089044 | Other | VA | ANTHEM BCBS |
| 189289 | Other | VA | ANTHEM BCBS |
| 2251430 | Other | VA | MAMSI - OFFICE |
| 302282 | Other | VA | ANTHEM BCBS |
| 088987 | Other | VA | ANTHEM BCBS |
| 224403 | Other | VA | ANTHEM BCBS |
| 231507 | Other | VA | ANTHEM |
| 4000503-000 | Medicaid | WV | |
| 453969 | Other | VA | ANTHEM BCBS |
| 9363 | Other | AETNA HMO | |
| 314478 | Other | VA | MAMSI |
| 7364052001 | Other | CIGNA |
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.