NPIMap

Radiologic Associates of Fredericksburg LTD

Organization Active NPI Radiology Clinic/Center · Stafford, VA

NPI 1336386366 · NPPES record last updated Feb 9, 2024

Key facts

NPI
1336386366
Entity type
Organization (NPI type 2)
Primary specialty
Radiology Clinic/Center 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
Organization subpart
No

Authorized official

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

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 1

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

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 75

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in VA, DC, FL, NY

Medicare enrollment records

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

National Provider Directory

Interoperability endpoints

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
1336386366MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 9, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336386366",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

All providers in Stafford, VA · Radiology Clinic/Center in Virginia

Sources for this page

Verify at the official NPI Registry.