NPIMap

Organization Active NPI

Washington Radiology Assoc PLLC

  • Specialist
  • Fairfax, VA
National Provider Identifier
1215985437
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WASHINGTON RADIOLOGY ASSOC PLLC
Practice address
3015 Williams Dr
Suite 200
Fairfax, VA 22031-4623
Phone
(703) 641-9133
Fax
(703) 280-5098
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Ian Lande, MDNPI 1053361162
Title
President
Phone
(703) 641-9433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3015 Williams Dr
Suite 200
Fairfax, VA 22031-4623

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0460549MedicaidDC

Other names 1

  • Washington Radiology Associates, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD, PA, IL, NY, CA, FL, TX, NC, MO, CO, MA13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20040212000969 DC Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 52 practitioners
9 other NPIs on this enrollment
Practice locations: Washington, DC; Rockville, MD; Arlington, VA; Bethesda, MD; Chevy Chase, MD; Fairfax, VA; Germantown, MD; Greenbelt, MD…
O20090601000441 VA Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 46 practitioners
1 other NPI on this enrollment
Practice locations: Sterling, VA; Winchester, VA
O20240305002528 MD Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 32 practitioners
Practice locations: Hagerstown, MD; Sparks, MD; Salisbury, MD; Forest Hill, MD; Ellicott City, MD; Berlin, MD; Bel Air, MD
O20240404004190 PA Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 1 practitioner
Practice locations: New Hope, PA
O20240418001614 IL Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 1 practitioner
Practice locations: Prospect Heights, IL
O20240516002444 NY Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 3 practitioners
Practice locations: Chappaqua, NY; East Setauket, NY; Latham, NY
O20240604002506 CA Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA
O20240626000005 FL Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 2 practitioners
Practice locations: Boynton Beach, FL; St Petersburg, FL
O20241004003469 TX Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 5 practitioners
Practice locations: Lubbock, TX; Sugar Land, TX; Spring, TX; Round Rock, TX; Pearland, TX; Katy, TX; Houston, TX; Austin, TX…
O20241114000567 NC Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC
O20241120001435 MO Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, MO; Parkville, MO
O20241126000424 CO Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20260210003426 MA Part B Supplier - Clinic/Group Practice 8729972302 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, MA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Washington Radiology PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2141 K St NW
Ste 900
Washington, DC 20037
Phone (202) 223-9722

2141 K St NW
Ste 100
Washington, DC 20037
Phone (202) 223-9722

2021 K St NW
Ste T120
Washington, DC 20006
Phone (202) 775-0574

1145 19th St NW
Ste 101
Washington, DC 20036

314 Franklin Ave
Ste 406
Berlin, MD 21811
Phone (410) 546-4577

10215 Fernwood Rd
Ste 103
Bethesda, MD 20817
Phone (301) 564-1053

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

1201 Seven Locks Rd
Ste 100
Rockville, MD 20854
Phone (301) 424-1781

3022 Williams Dr
Ste 104
Fairfax, VA 22031
Phone (703) 698-8800

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

1867 Amherst St
Ste 103
Winchester, VA 22601
Phone (540) 931-0139

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1215985437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 WILLIAMS DR",
            "address_2": "SUITE 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": "3015 WILLIAMS DR",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314623",
            "telephone_number": "703-641-9133",
            "fax_number": "703-280-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON RADIOLOGY ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "LANDE",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-641-9433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460549",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Radiology Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.