Individual provider Active NPI

Daniel Roger Poulsen II, MD

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1215440342
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101267382 Issued in VA
Practice address
1250 E Marshall St # 980615
Richmond, VA 23298-5051
Phone
(804) 828-3524
NPI assigned
Nov 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0116032474 VA
Diagnostic Radiology Physician 2085R0202X 0101267382 VA Primary
Diagnostic Radiology Physician 2085R0202X 351443 LA
Physical Therapist 225100000X 022223 NY

Addresses

Primary practice location

1250 E Marshall St # 980615
Richmond, VA 23298-5051

Mailing address

PO Box 980257
Richmond, VA 23298-0257
Phone (804) 828-9783

Other practice location 1

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-6600

Other practice location 2

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669

Other practice location 3

300 Mt Clement Park Ste A2
Tappahannock, VA 22560-5098
Phone (804) 828-6600

Other practice location 4

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 448-6734

Other practice location 5

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5537

Other practice location 6

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8906

Other practice location 7

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 828-6600

Other practice location 8

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 628-7245

Other practice location 9

1213 E Clay St
Richmond, VA 23298-5071
Phone (804) 828-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, IN, LA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240731000850 NC Practitioner - Diagnostic Radiology 8921092016 Reassigns benefits to 2 organizations
I20241114001871 VA Practitioner - Diagnostic Radiology 8921092016 Reassigns benefits to 3 organizations
I20260515002027 IN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8921092016 Reassigns benefits to 1 organization
I20260523000244 LA Practitioner - Interventional Radiology 8921092016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Gaston Radiology PAGroup PAC ID 4082680806, 29 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

1800 V Lakeshore Dr
Fayetteville, NC 28305-5241
Phone (888) 522-4514

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

611 E Douglas Rd
Mishawaka, IN 46545-1465
Phone (574) 335-6060

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
351443LAMDDiagnostic Radiology Physician
022223NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Radiology PA Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
MCV Associated Physicians Diagnostic Radiology CurrentSince Jul 5, 2024 Accepting new patients
Buffalo Spine & Sports Medicine PC Past Accepting new patients

Locations

1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677

620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207

1250 E Marshall St
#980615
Richmond, VA 23298
Phone (804) 828-0552

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

300 Mt Clement Park
Ste A2
Tappahannock, VA 22560
Phone (804) 443-3311

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

Organizations & group practices 8

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 7

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": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1215440342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980257",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980257",
            "telephone_number": "804-828-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST # 980615",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-828-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-360-4669",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mt Clement Park Ste A2",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013841",
            "country_code": "US",
            "telephone_number": "318-448-6734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "13203",
            "country_code": "US",
            "telephone_number": "315-448-5537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-560-8906",
            "fax_number": "804-237-6618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985004",
            "country_code": "US",
            "telephone_number": "804-628-7245",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 E Clay St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985071",
            "country_code": "US",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULSEN",
        "first_name": "DANIEL",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-11",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0116032474",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101267382",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "351443",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.