NPIMap

Individual provider Active NPI

William Patrick O'Grady, M.D.

  • Diagnostic Radiology Physician
  • Alexandria, VA
National Provider Identifier
1417931650
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
O101042601 Issued in VA
Practice address
3720 Seminary Rd
Alexandria, VA 22304-5203
Phone
(703) 751-7790
Fax
(703) 823-2862
NPI assigned
Dec 1, 2005
Last updated
Dec 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X O101042601 VA Primary

Addresses

Primary practice location

3720 Seminary Rd
Alexandria, VA 22304-5203

Mailing address

3720 Seminary Rd
Alexandria, VA 22304-5203
Phone (703) 751-7790

Other identifiers 1

IdentifierTypeStateIssuer
168051000MedicaidMD

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
17399MDMDPharmacist
O101042601VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Open MRI Inc Past Accepting new patients
Progressive MRI, LLC Diagnostic Radiology Past Accepting new patients
Howard Open MRI Center LLC Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Dimensions Health Corporation Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc Diagnostic Radiology PastSince Jan 1, 2005 Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Narayanan Neurosurgery Services Past Accepting new patients
Howard Open MRI LLC Past Accepting new patients
Washington Imaging Associates of DC, LLC Diagnostic Radiology Past Accepting new patients
DHC of Washington, L.L.C. PastSince Apr 30, 2003 Accepting new patients
Olney Open MRI LLC Diagnostic Radiology Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1417931650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SEMINARY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223045203",
            "telephone_number": "703-751-7790",
            "fax_number": "703-823-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SEMINARY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223045203",
            "telephone_number": "703-751-7790",
            "fax_number": "703-823-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GRADY",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "O101042601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168051000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.