Individual provider Active NPI

Lisa Johnson, M.D.

  • Specialist
  • Sterling, VA
National Provider Identifier
1154372654
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101-057627 Issued in VA
Practice address
21351 Ridgetop Cir
Ste 100
Sterling, VA 20166-6561
Phone
(571) 434-0140
Fax
(703) 280-5098
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101-057627 VA Primary

Addresses

Primary practice location

21351 Ridgetop Cir
Ste 100
Sterling, VA 20166-6561

Mailing address

3015 Williams Dr
Ste 200
Fairfax, VA 22031-4623
Phone (703) 641-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090601000497 VA Practitioner - Diagnostic Radiology 1355490913 Reassigns benefits to 1 organization
I20120127000166 DC Practitioner - Diagnostic Radiology 1355490913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Suite 110
Arlington, VA 22201-4751
Phone (703) 280-1410

10215 Fernwood Rd
Bethesda, MD 20817-1183

1145 19TH St NW
Suite 101
Washington, DC 20036-3748
Phone (833) 443-9463

1145 19TH St NW
Suite 200
Washington, DC 20036-3737
Phone (571) 388-2754

12505 Park Potomac Ave
Suite 120
Potomac, MD 20854-6812
Phone (240) 223-4700

20410 Observation Dr
Suite 203
Germantown, MD 20876-4093
Phone (301) 298-1426

21351 Ridgetop Cir
Suite 100
Sterling, VA 20166-6608
Phone (571) 434-0140

2141 K St NW
Suite 200
Washington, DC 20037-1876
Phone (202) 223-9723

3022 Williams Dr
Fairfax, VA 22031-4600
Phone (703) 698-8800

4445 Willard Ave
Suite 200
Chevy Chase, MD 20815-3696
Phone (301) 654-4242

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

State licenses

LicenseStateTypeSpecialty
0101-057627VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Associates, PLLC Specialist CurrentSince Jul 1, 1998 Accepting new patients

Locations

3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1154372654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 WILLIAMS DR",
            "address_2": "STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314623",
            "telephone_number": "703-641-9133",
            "fax_number": "703-280-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21351 RIDGETOP CIR",
            "address_2": "STE 100",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666561",
            "telephone_number": "571-434-0140",
            "fax_number": "703-280-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101-057627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.