NPIMap

Organization Active NPI

Radiologic Associates of Fredericksburg LTD

  • Radiology Clinic/Center
  • Stafford, VA
National Provider Identifier
1336386366
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
Practice address
101 Hospital Center Blvd
Stafford, VA 22554-6200
Phone
(540) 741-9000
Fax
(540) 741-1029
NPI assigned
Jan 13, 2009
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Christopher Meyer, MDNPI 1326097973
Title
President
Phone
(540) 361-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

101 Hospital Center Blvd
Stafford, VA 22554-6200

Mailing address

10401 Spotsylvania Ave
Suite 200
Fredericksburg, VA 22408-8606
Phone (540) 361-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, FL, NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040618000436 VA Part B Supplier - Clinic/Group Practice 2567447261 Receives reassigned benefits from 66 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20241031002538 DC Part B Supplier - Clinic/Group Practice 2567447261 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alexandria, VA; Arlington, VA; Clifton, VA; Fairfax, VA; Springfield, VA; Washington, DC
O20241121002506 FL Part B Supplier - Clinic/Group Practice 2567447261 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cantonment, FL; Gainesville, FL; Palm Beach Gardens, FL; Plantation, FL; Saint Petersburg, FL
O20251114002070 NY Part B Supplier - Clinic/Group Practice 2567447261 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Delmar, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.105545

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1336386366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088606",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL CENTER BLVD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546200",
            "telephone_number": "540-741-9000",
            "fax_number": "540-741-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-361-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.