Individual provider Active NPI

Sussan Sadeghi, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1467668848
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
U1123 Issued in TX
Practice address
2141 K St NW
Ste 900
Washington, DC 20037-1810
Phone
(202) 223-9722
Fax
(703) 280-5098
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 U1123 TX Primary

Addresses

Primary practice location

2141 K St NW
Ste 900
Washington, DC 20037-1810

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20071009000697 DC Practitioner - Diagnostic Radiology 7911092705 Reassigns benefits to 2 organizations
I20230125001947 TX Practitioner - Diagnostic Radiology 7911092705 Reassigns benefits to 2 organizations
I20230125003282 MD Practitioner - Diagnostic Radiology 7911092705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Ara/St. David'S Imaging, LPGroup PAC ID 8426001496, 11 clinicians

Practice addresses (Care Compare)

11113 Research Blvd
Austin, TX 78759-5236
Phone (713) 461-3573

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

7107 Radnor Rd
Bethesda, MD 20817-6332
Phone (512) 795-5100

9120 Gorman Rd
Laurel, MD 20723-5902
Phone (832) 355-4112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jan 3, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jan 3, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jan 3, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jan 3, 2023 Accepting new patients

Locations (25 of 33)

26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

4207 Burnet Rd
Austin, TX 78756
Phone (512) 346-2261

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1601 Trinity St
Stop A
Austin, TX 78712
Phone (512) 232-7347

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

Organizations & group practices 7

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

Hospital & facility affiliations 5

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1467668848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 K ST NW",
            "address_2": "STE 900",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371810",
            "telephone_number": "202-223-9722",
            "fax_number": "703-280-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "SUSSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.