Individual provider Active NPI

Victor J Mandanas, MD

  • Diagnostic Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1356413785
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101269924 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-1838
Phone
(434) 924-9400
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220661 NY
Diagnostic Radiology Physician 2085R0202X 0101269924 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-1838

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7083

Other practice location 2

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, SC, PA, MD, DC, KY7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20061215000072 NY Practitioner - Diagnostic Radiology 8628077948 Reassigns benefits to 3 organizations
I20220312000145 VA Practitioner - Diagnostic Radiology 8628077948 Reassigns benefits to 6 organizations
I20240123003605 SC Practitioner - Diagnostic Radiology 8628077948 Reassigns benefits to 3 organizations
I20240520001196 PA Practitioner - Diagnostic Radiology 8628077948 Reassigns benefits to 1 organization
I20241025001025 MD Practitioner - Diagnostic Radiology 8628077948 Reassigns benefits to 1 organization
I20250707000411 DC Practitioner - Diagnostic Radiology 8628077948 Reassigns benefits to 1 organization
I20251103003059 KY Practitioner - Diagnostic Radiology 8628077948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

1215 Lee St
Charlottesville, VA 22908-2325
Phone (434) 924-8129

461 Longview Dr
Leesville, SC 29070-7975
Phone (502) 852-5875

5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164

5045 Merriman Rd
Roanoke, VA 24018-4215
Phone (843) 237-3164

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36710SCMDPharmacist
220661NYMDDiagnostic Radiology Physician
0101269924VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Feb 12, 2024 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Fayette Physician Network Inc CurrentSince May 14, 2024 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Augusta Health Care, Inc CurrentSince Mar 6, 2024 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Nov 6, 2013 Accepting new patients
Fayette Physician Network Inc CurrentSince May 14, 2024 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Mar 28, 2024 Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Mar 6, 2024 Accepting new patients
Augusta Medical Group CurrentSince Mar 6, 2024 Accepting new patients
Augusta Medical Group CurrentSince Mar 6, 2024 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
University of Louisville Phyisicians, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
University of Virginia Physicians Group CurrentSince Jan 1, 2024 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Feb 12, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Mar 28, 2013 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Feb 15, 2024 Accepting new patients
Brookhaven Memorial Hospital Medical Center Diagnostic Radiology Past Accepting new patients
Mercy Medical Center Diagnostic Radiology Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients

Locations (25 of 30)

7752 Solution Ctr
Chicago, IL 60677

8607 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 569-5855

3802 W Industrial Blvd
Ste 4
Bloomington, IN 47403
Phone (812) 331-7727

11900 Pennsylvania St
Ste 100
Carmel, IN 46032

10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133

521 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 882-9422

125 W South St
Unit 1785
Indianapolis, IN 46206

1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980

7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880

3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984

4313 S 7th St
Terre Haute, IN 47802
Phone (812) 234-0555

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

7150 Contee Rd
Laurel, MD 20707
Phone (240) 677-7200

52 Main St
Bedford Hills, NY 10507

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

2280 Ivy Rd
Ste 1305
Charlottesville, VA 22903
Phone (434) 243-9198

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1356413785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007",
            "fax_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229081838",
            "telephone_number": "434-924-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Belleview Ave SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141838",
            "country_code": "US",
            "telephone_number": "540-981-7083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117724870",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDANAS",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "220661",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101269924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.