Active NPI
Sentara Advanced Imaging Solutions, LLC
- Diagnostic Radiology Physician
- Norfolk, VA
National Provider Identifier
1467069732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SENTARA ADVANCED IMAGING SOLUTIONS, LLC
- Practice address
- 824 N Military Hwy Ste 100
Norfolk, VA 23502-3652 - Phone
- (757) 252-2900
- NPI assigned
- Sep 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doris Prince
- Title
- Director
- Phone
- (757) 252-2760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
824 N Military Hwy Ste 100
Norfolk, VA 23502-3652
Mailing address
PO Box 746550
Atlanta, GA 30374-6550
Phone (757) 252-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210607001761 | VA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7113327545 |
Receives reassigned benefits from 10 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Norfolk, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1154928034
O20210607001761
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1467069732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746550",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746550",
"telephone_number": "757-252-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 N MILITARY HWY STE 100",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023652",
"telephone_number": "757-252-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA ADVANCED IMAGING SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "DORIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "757-252-2760"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.