Active NPI
Vincent James Mascatello, MD
- Pediatric Radiology Physician
- Fairfax, VA
National Provider Identifier
1124006747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 0101027809
- Practice address
- 4001 Fair Ridge Dr
#103, Fair Oaks Imaging Center
Fairfax, VA 22033-2917 - Phone
- (703) 385-5203
- Fax
- (703) 385-3058
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 0101027809 | VA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 0101027809 | VA |
Addresses
Primary practice location
4001 Fair Ridge Dr
#103, Fair Oaks Imaging Center
Fairfax, VA 22033-2917
Mailing address
21785 Filigree CT
#101
Ashburn, VA 20147-6214
Phone (703) 726-1201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7232381 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101027809 | VA | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Reston Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Loudoun Imaging Center/Ashburn, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI & CT of Woodholme, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Ashburn, VA
- NPI 1255356192
-
- Diagnostic Radiology Physician
- Ashburn, VA
- NPI 1902821853
-
- Radiology Clinic/Center
- Ashburn, VA
- NPI 1568615094
Diagnostic Radiology
-
- Specialist
- Baltimore, MD
- NPI 1285727321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124006747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21785 FILIGREE CT",
"address_2": "#101",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476214",
"telephone_number": "703-726-1201",
"fax_number": "703-858-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 FAIR RIDGE DR",
"address_2": "#103, FAIR OAKS IMAGING CENTER",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332917",
"telephone_number": "703-385-5203",
"fax_number": "703-385-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCATELLO",
"first_name": "VINCENT",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "VA",
"license": "0101027809",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101027809",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7232381",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.