Individual provider Active NPI

Albert Victor Porambo, M.D.

  • Diagnostic Radiology Physician
  • Rockville, MD
National Provider Identifier
1285670158
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0040902 Issued in MD
Practice address
3905 Fox Valley Dr
Rockville, MD 20853-3206
Phone
(301) 774-4764
NPI assigned
Jun 21, 2006
Last updated
Mar 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0040902 MD Primary

Addresses

Primary practice location

3905 Fox Valley Dr
Rockville, MD 20853-3206

Mailing address

3905 Fox Valley Dr
Rockville, MD 20853-3206
Phone (301) 774-4764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20040428000784 DC Practitioner - Diagnostic Radiology 2264429513 Reassigns benefits to 3 organizations
I20041220000784 MD Practitioner - Diagnostic Radiology 2264429513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3905 Fox Valley Dr
Rockville, MD 20853-3206
Phone (888) 601-0943

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2004 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Oct 27, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Oct 27, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients

Locations

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 20LL
Bethesda, MD 20817

10215 Fernwood Rd
Ste 620
Bethesda, MD 20817
Phone (301) 530-6646

14999 Health Center Dr
Ste 102
Bowie, MD 20716
Phone (301) 438-5150

4000 Mitchellville Rd
Ste A100
Bowie, MD 20716
Phone (301) 805-7000

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

184 Thomas Johnson Dr
Ste 104
Frederick, MD 21702

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

19851 Observation Dr
Ste 155
Germantown, MD 20876

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

7525 Greenway Center Dr
Ste T1
Greenbelt, MD 20770
Phone (301) 220-2277

3280 Urbana Pike
Ste 105
Ijamsville, MD 21754

7140 Contee Rd
Ste 2000
Laurel, MD 20707
Phone (443) 436-1666

7140 Contee Rd
Ste 3000
Laurel, MD 20707
Phone (667) 214-2732

504 E Ridgeville Blvd
Ste 130
Mount Airy, MD 21771

18103 Prince Philip Dr
Olney, MD 20832
Phone (301) 460-2600

4110 Aspen Hill Rd
Rockville, MD 20853
Phone (301) 438-5022

4110 Aspen Hill Rd
Ste 200
Rockville, MD 20853
Phone (301) 438-5150

3801 International Dr
Ste 103
Silver Spring, MD 20906
Phone (301) 598-0123

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1285670158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 FOX VALLEY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533206",
            "telephone_number": "301-774-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 FOX VALLEY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533206",
            "telephone_number": "301-774-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORAMBO",
        "first_name": "ALBERT",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0040902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.