NPIMap

Organization Active NPI

Washington Imaging Associates - Maryland LLC

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1366634107
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WASHINGTON IMAGING ASSOCIATES - MARYLAND LLC
Practice address
3201 Jermantown Rd Ste 550
Fairfax, VA 22030-2885
Phone
(703) 667-8600
Fax
(703) 667-8601
NPI assigned
Aug 15, 2007
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Raymond K Tu, MDNPI 1710961545
Title
Director
Phone
(202) 997-7000

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3201 Jermantown Rd Ste 550
Fairfax, VA 22030-2885

Mailing address

7799 Leesburg Pike
Suite 1008-N
McLean, VA 22102
Phone (703) 442-4714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170510000059 DC Part B Supplier - Clinic/Group Practice 2264606094 Receives reassigned benefits from 21 practitioners
Practice locations: Falls Church, VA; Washington, DC
O20181022000021 MD Part B Supplier - Clinic/Group Practice 2264606094 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

1165 Imperial Dr
Ste 101
Hagerstown, MD 21740
Phone (706) 667-8600

407 Main St
Ste 1
Belpre, OH 45714
Phone (304) 615-2454

7799 Leesburg Pike
Ste 1008N
Falls Church, VA 20598

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1366634107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7799 LEESBURG PIKE",
            "address_2": "SUITE 1008-N",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22102",
            "telephone_number": "703-442-4714",
            "fax_number": "703-442-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 JERMANTOWN RD STE 550",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302885",
            "telephone_number": "703-667-8600",
            "fax_number": "703-667-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON IMAGING ASSOCIATES - MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-997-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.