Active NPI
Vivek David, M.D.
- Diagnostic Radiology Physician
- Washington, DC
National Provider Identifier
1407830268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD31199
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470001526 | Other | RR MEDICARE | |
| 300135375 | Other | RR MEDICARE | |
| 086500100 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD31199 | DC | MD | Diagnostic Radiology Physician |
| O101058285 | VA | MD | Diagnostic Radiology Physician |
| MD00043982 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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 | Past | 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.
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- Physiological Laboratory
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- Physiological Laboratory
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- Clinic/Center
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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.