Kenneth Rholl, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

010139444 Issued in VA

Practice address

8001 Forbes PL
Suite 103
Springfield, VA 22151-2208

Phone

(703) 824-3200

NPI assigned

Sep 27, 2006

Last updated

Mar 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Computed Tomography Associates, PC

  • Diagnostic Radiology Physician
  • Alexandria, VA
  • NPI 1184647067

  Vascular & Interventional Radiology

  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1265523260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79537",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790537",
            "telephone_number": "703-824-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FORBES PL",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512208",
            "telephone_number": "703-824-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOLL",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "010139444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300010615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Jairo Reyes-Castano, M.D.
• Jenny Reyes
• Brooke Elizabeth Reynolds
• Patricia Lissette Rhodes, LCSW
• Rhodes2Healing LLC
• Kurt L Rhymers, MD
• Samantha Ricci
• Malissa Richards, PT, DPT
• Amanda Richardson
• Catherine Richardson

• Vascular & Interventional Radiology Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Vascular & Interventional Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.