Organization Active NPI

Fairfax Radiological Consultants

  • Specialist
  • Falls Church, VA
National Provider Identifier
1114902509
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 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
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Kim Masters
Title
Chief Operating Officer
Phone
(703) 698-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NC, MD, CA, MI6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

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

3650 Joseph Siewick Dr
Ste 440
Fairfax, VA 22033
Phone (703) 391-2020

8081 Innovation Park Dr
#3
Fairfax, VA 22031

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

8318 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 204-8333

8506 Arlington Blvd Ste 200
Fairfax, VA 22031

100 Elden St
#16M
Herndon, VA 20170
Phone (703) 481-9400

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

11901 Baron Cameron Ave
#101
Reston, VA 20190

Practitioners & affiliated clinicians

Practitioners 243

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 243

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1114902509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 750",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314523",
            "telephone_number": "703-698-4483",
            "fax_number": "703-204-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-698-4483",
            "fax_number": "703-204-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX RADIOLOGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "703-698-4444"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.