Individual provider Active NPI

Michael G Karnaze, MD

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1265450274
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101040811 Issued in VA
Practice address
2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400
Phone
(703) 698-4483
Fax
(703) 573-0880
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 0101040811 VA
Pediatric Radiology Physician 2085P0229X 0101040811 VA
Vascular & Interventional Radiology Physician 2085R0204X 0101040811 VA
Diagnostic Ultrasound Physician 2085U0001X 0101040811 VA
Diagnostic Radiology Physician 2085R0202X 0101040811 VA Primary
Body Imaging Physician 2085B0100X 0101040811 VA
Neuroradiology Physician 2085N0700X 0101040811 VA

Addresses

Primary practice location

2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400

Mailing address

PO Box 3650
Fairfax, VA 22038-3650
Phone (703) 698-4483

Other identifiers 1

IdentifierTypeStateIssuer
0023OtherVACAREFIRST BCBS

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
I20040519001575 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3173514064 Reassigns benefits to 2 organizations
I20110928000219 DC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3173514064 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Reston MRI Center LLC CurrentSince Aug 1, 2011 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Aug 1, 2011 Accepting new patients
Fairfax Radiological Consultants Pediatric Radiology CurrentSince May 8, 1990 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients
Fairfax Radiological Consultants PC Past Accepting new patients

Locations

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

11901 Baron Cameron Ave
Reston, VA 20190
Phone (703) 464-6480

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Organizations & group practices 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1265450274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3650",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220383650",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "SUITE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNAZE",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101040811",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101040811",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101040811",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101040811",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101040811",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101040811",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101040811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0023",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.