Individual provider Active NPI

Mark W Anderson, MD

  • Diagnostic Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1447309406
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101055864 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-0001
Phone
(434) 924-9400
NPI assigned
Jan 9, 2007
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101055864 VA Primary
Vascular & Interventional Radiology Physician 2085R0204X 0101055864 VA

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-0001

Mailing address

PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000

Other practice location 1

Uva Hospital
Lee Street, 1st Floor
Charlottesville, VA 22908-0001
Phone (434) 243-6888

Other identifiers 1

IdentifierTypeStateIssuer
7202075MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000251 VA Practitioner - Diagnostic Radiology 4486626363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hospital Dr
Charlottesville, VA 22908-0001

1015 Spring Creek Pkwy
Zion Crossroads, VA 22942-7019
Phone (434) 243-9466

1215 Lee St
Charlottesville, VA 22908-0816

1221 Lee St
Charlottesville, VA 22908-0001
Phone (434) 924-2500

1240 Lee St
Charlottesville, VA 22908-0817
Phone (434) 243-0321

2280 Ivy Rd
Charlottesville, VA 22903-4977
Phone (434) 243-9198

2335 Seminole LN
Suite 200
Charlottesville, VA 22901-8303
Phone (434) 295-1000

24 Gloucester Rd
Stuarts Draft, VA 24477-3321
Phone (540) 337-3710

2965 Ivy Rd
Charlottesville, VA 22903-9330
Phone (434) 243-4394

415 Ray C Hunt Dr
Charlottesville, VA 22903-2980

501 Sunset LN
Culpeper, VA 22701-3917

541 Sunset LN
Culpeper, VA 22701-3903

545 Ray C Hunt Dr
Suite 140
Charlottesville, VA 22903-2981
Phone (434) 243-9198

661 University LN
Orange, VA 22960-2243

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101055864VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Sep 15, 1997 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2009 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2009 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince Jul 16, 2020 Accepting new patients
Uva Outpatient Imaging Centreville LLC CurrentSince Apr 9, 2026 Accepting new patients

Locations

Lee St And 11th St SW
Charlottesville, VA 22908
Phone (434) 924-5959

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1447309406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uva Hospital",
            "address_2": "Lee Street, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080001",
            "country_code": "US",
            "telephone_number": "434-243-6888",
            "fax_number": "434-982-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101055864",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101055864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202075",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.