Active NPI
Medarva Imaging
- Diagnostic Radiology Physician
- Richmond, VA
National Provider Identifier
1447538558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDARVA IMAGING
- Practice address
- 1630 Wilkes Ridge Pkwy Ste 100
Richmond, VA 23233-7460 - Phone
- (804) 775-4500
- NPI assigned
- Jul 25, 2011
- Organization subpart
- Yes
- Parent organization
- RICHMOND EYE AND EAR HEALTH ALLIANCE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Jenkins
- Title
- VP
- Phone
- (804) 775-4500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
1630 Wilkes Ridge Pkwy Ste 100
Richmond, VA 23233-7460
Mailing address
8700 Stony Point Pkwy
Ste 100
Richmond, VA 23235-1962
Phone (804) 775-4500
Other names 1
- MEDARVA IMAGING
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200814001736 | VA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4688091796 | Practice locations: Richmond, VA |
National Provider Directory
National Provider Directory- Part of
- Richmond Eye Ear Health Ca
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Low Vision Rehabilitation Optometrist
- Richmond, VA
- NPI 1467623553
Member Of
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Bethesda, MD
- NPI 1831515832
-
- Ophthalmology Physician
- Richmond, VA
- NPI 1477515237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1447538558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 STONY POINT PKWY",
"address_2": "STE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351962",
"telephone_number": "804-775-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 WILKES RIDGE PKWY STE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232337460",
"telephone_number": "804-775-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDARVA IMAGING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RICHMOND EYE AND EAR HEALTH ALLIANCE",
"enumeration_date": "2011-07-25",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "804-775-4500"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDARVA IMAGING",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.