Individual provider Active NPI

Vivek David, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1407830268
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD31199 Issued in DC
Practice address
3301 New Mexico Ave NW
Suite 106
Washington, DC 20016-3622
Phone
(202) 966-0606
Fax
(202) 244-6757
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD31199 DC Primary
Diagnostic Radiology Physician 2085R0202X D0053608 MD
Diagnostic Radiology Physician 2085R0202X O101058285 VA
Diagnostic Radiology Physician 2085R0202X MD00043982 WA

Addresses

Primary practice location

3301 New Mexico Ave NW
Suite 106
Washington, DC 20016-3622

Mailing address

7799 Leesburg Pike
Suite 1000 N
Falls Church, VA 22043-2408
Phone (703) 667-8600

Other identifiers 3

IdentifierTypeStateIssuer
470001526OtherRR MEDICARE
300135375OtherRR MEDICARE
086500100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31199DCMDDiagnostic Radiology Physician
O101058285VAMDDiagnostic Radiology Physician
MD00043982WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Western Maryland, LP Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc Diagnostic Radiology PastSince Jan 1, 2005 Accepting new patients
DHC of Washington, L.L.C. Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Washington ENT Group PLLC Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Progressive MRI, LLC Diagnostic Radiology PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1407830268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7799 LEESBURG PIKE",
            "address_2": "SUITE 1000 N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432408",
            "telephone_number": "703-667-8600",
            "fax_number": "703-667-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "address_2": "SUITE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-966-0606",
            "fax_number": "202-244-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "VIVEK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD31199",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0053608",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "O101058285",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00043982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "470001526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300135375",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086500100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.