Active NPI
Daniel Roger Poulsen II, MD
- Diagnostic Radiology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101267382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Caromont Regional Medical Center
- Medical College of Virginia Hospitals
- Saint Joseph Regional Medical Center
- Mercy St Vincent Medical Center
- Augusta Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 351443 | LA | MD | Diagnostic Radiology Physician |
| 022223 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| MCV Associated Physicians | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Gastonia, NC
- NPI 1356324487
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Diagnostic Radiology Physician
- Fishersville, VA
- NPI 1720717044
-
- Physical Medicine & Rehabilitation Physician
- Williamsville, NY
- NPI 1770517765
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.