Individual provider Active NPI

Ryan T Gabriel, MD

  • Diagnostic Radiology Physician
  • North Chesterfield, VA
National Provider Identifier
1134419807
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101253080 Issued in VA
Practice address
2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone
(804) 272-8806
Fax
(804) 272-2909
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Diagnostic Radiology Physician 2085R0202X 0101253080 VA Primary

Addresses

Primary practice location

2602 Buford Rd
North Chesterfield, VA 23235-3422

Mailing address

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

Other practice location 1

1300 Jefferson Park Ave
Ste 1101
Charlottesville, VA 22903-3363
Phone (434) 924-9391

Other identifiers 1

IdentifierTypeStateIssuer
1134419807MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160614001446 VA Practitioner - Diagnostic Radiology 4587802558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Richmond IncGroup PAC ID 9830088434, 70 clinicians

Practice addresses (Care Compare)

13636 Hull St Rd
Midlothian, VA 23112-2108
Phone (804) 272-8806

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 272-8806

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 272-8806

4200 Greybull Dr
Suite 100
Richmond, VA 23233-7555
Phone (804) 272-8806

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (804) 272-8806

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (804) 272-8806

930 S Ave
Suite 1
Colonial Heights, VA 23834-3620
Phone (804) 272-8806

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Short Pump Imaging LLC CurrentSince Jan 1, 2022 Accepting new patients
Chesterfield Imaging LLC CurrentSince Apr 1, 2011 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Wahoo Radiology, PLLC Diagnostic Radiology Past Accepting new patients

Locations

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

Organizations & group practices 6

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 11

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134419807",
    "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": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Jefferson Park Ave",
            "address_2": "Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033363",
            "country_code": "US",
            "telephone_number": "434-924-9391",
            "fax_number": "434-982-6534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "RYAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101253080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134419807",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.