Organization Active NPI

Reston Radiology Consultants, PC

  • Diagnostic Radiology Physician
  • Reston, VA
National Provider Identifier
1235307034
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RESTON RADIOLOGY CONSULTANTS, PC
Practice address
1850 Town Center Pkwy
Reston, VA 20190-3219
Phone
(703) 726-1201
Fax
(703) 726-1053
NPI assigned
Feb 14, 2008
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Mr. Jeffrey Atkin, MBA, MIS, CPHIMS, CN
Title
Ceo
Phone
(703) 726-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1850 Town Center Pkwy
Reston, VA 20190-3219

Mailing address

P.O. Box 207411
Dallas, TX 75320-7411
Phone (703) 726-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, AZ, TN, CA, TX, FL, PA, OH, MI10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20080822000340 DC Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 43 practitioners
Practice locations: Reston, VA
O20160527000029 VA Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 51 practitioners
Practice locations: Sterling, VA; Virginia Beach, VA
O20210810000048 AZ Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ
O20221004001036 TN Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 2 practitioners
Practice locations: College Grove, TN; Waverly, TN
O20221109003403 CA Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA
O20241122001106 TX Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20250402000585 FL Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 1 practitioner
Practice locations: North Port, FL
O20250415001212 PA Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 1 practitioner
Practice locations: Johnstown, PA
O20250512000591 OH Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 1 practitioner
Practice locations: Granville, OH
O20251017004159 MI Part B Supplier - Clinic/Group Practice 1557436730 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

1830 Town Center Dr
Ste 110
Reston, VA 20190

1860 Town Center Dr
Ste 400
Reston, VA 20190

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1235307034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 207411",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207411",
            "telephone_number": "703-726-1201",
            "fax_number": "703-726-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-726-1201",
            "fax_number": "703-726-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON RADIOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-726-1201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MIS, CPHIMS, CN"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.