Active NPI
Namik Erdag, M.D.
- Diagnostic Radiology Physician
- Manassas, VA
National Provider Identifier
1427038264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101238318
- Practice address
- 8629 Sudley Rd
Suite 102
Manassas, VA 20110-4590 - Phone
- (703) 361-3030
- NPI assigned
- Jan 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101238318 | VA | Primary |
Addresses
Primary practice location
8629 Sudley Rd
Suite 102
Manassas, VA 20110-4590
Mailing address
PO Box 1067
Manassas, VA 20108-1067
Phone (703) 361-3030
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010177502 | Medicaid | VA | |
| 208822489 | Other | VA | TRICARE |
| 010175445 | Medicaid | VA | |
| 010175500 | Medicaid | VA | |
| 010177529 | Medicaid | VA | |
| 010175488 | Medicaid | VA | |
| 6688-0032 | Other | VA | CAREFIRST |
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 |
|---|---|---|---|
| 0101238318 | VA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1427038264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1067",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201081067",
"telephone_number": "703-361-3030",
"fax_number": "703-361-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8629 SUDLEY RD",
"address_2": "SUITE 102",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104590",
"telephone_number": "703-361-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDAG",
"first_name": "NAMIK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101238318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010177502",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "208822489",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010175445",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010175500",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010177529",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010175488",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "6688-0032",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.