Individual provider Active NPI

Adrian Mora

  • Diagnostic Radiology Physician
  • Annandale, VA
National Provider Identifier
1467748392
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
82295 Issued in CT
Practice address
3299 Woodburn Rd Ste 110
Annandale, VA 22003-7310
Phone
(703) 849-9050
NPI assigned
Jun 20, 2011
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 0101252321 VA
Diagnostic Radiology Physician 2085R0202X 82295 CT Primary

Addresses

Primary practice location

3299 Woodburn Rd Ste 110
Annandale, VA 22003-7310

Mailing address

2828 Brook Dr
Falls Church, VA 22042-2302

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 698-4444

Other practice location 2

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Other practice location 3

114 Woodland St
Hartford, CT 06105-1208
Phone (203) 426-3002

Other practice location 4

6211 Centreville Rd # 400M
Centreville, VA 20121-2641
Phone (703) 204-4411

Other identifiers 1

IdentifierTypeStateIssuer
1467748392MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, CT3 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
I20170918002169 VA Practitioner - Diagnostic Radiology 3678711371 Reassigns benefits to 9 organizations
I20200110002007 DC Practitioner - Diagnostic Radiology 3678711371 Reassigns benefits to 4 organizations
I20250919001493 CT Practitioner - Diagnostic Radiology 3678711371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging Specialists LLCGroup PAC ID 9234676164, 47 clinicians
Danbury Radiological Associates, PCGroup PAC ID 2264408533, 35 clinicians
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians
Premier Imaging LLCGroup PAC ID 8820403637, 42 clinicians
Inova Reston MRI Center LLCGroup PAC ID 2961540042, 101 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (203) 426-3002

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7532

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 748-0834

4001 Prince William Pkwy
Suite 302
Woodbridge, VA 22192-7667
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

7799 Leesburg Pike
Suite 104S
Falls Church, VA 22043-2413
Phone (703) 893-2820

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Scott County Community Hospital, Inc. CurrentSince Nov 24, 2025 Accepting new patients
Radiology Medical Group of Napa Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Tennessee Valley Radiology LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jun 1, 2025 Accepting new patients
Ifrc, LLC CurrentSince Apr 1, 2025 Accepting new patients
Quality Medical Imaging of Idaho Inc CurrentSince Feb 27, 2023 Accepting new patients
Danbury Radiological Associates, PC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients
Advanced Imaging Specialists, LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Premier Imaging LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients
Abercrombie Radiological Consultants Inc Diagnostic Radiology CurrentSince Aug 26, 2025 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Fairfax Radiological Consultants PC Past Accepting new patients
Tra-Minw P S PastSince Sep 1, 2017 Accepting new patients
Fairfax Pet Imaging Center, LLC Past Accepting new patients

Locations (25 of 45)

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

2 Riverview Dr
Ste 104
Danbury, CT 06810
Phone (203) 739-7532

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

1112 E Weisgarber Rd
Ste 102
Knoxville, TN 37909
Phone (865) 588-1397

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

1600 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 751-5055

1800 N Beauregard St
Alexandria, VA 22311
Phone (703) 933-2590

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

400 Fannon St
Fl 1
Alexandria, VA 22301
Phone (571) 472-5400

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6355 Walker Ln
Alexandria, VA 22310
Phone (703) 664-7453

3299 Woodburn Rd
Ste 110
Annandale, VA 22003
Phone (703) 849-9050

3833 Fairfax Dr
Ste 110
Arlington, VA 22203
Phone (202) 674-0644

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-4300

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

6211 Centreville Rd
Ste 400
Centreville, VA 20121
Phone (703) 204-4411

6211 Centreville Rd
Ste 400M
Centreville, VA 20121
Phone (703) 204-4411

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3801 University Dr
#120
Fairfax, VA 22030
Phone (703) 698-4467

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

8081 Innovation Park Dr
Bldg A
Fairfax, VA 22031

8081 Innovation Park Dr
Bldg B
Fairfax, VA 22031
Phone 703698444414708

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1467748392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 BROOK DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD STE 110",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037310",
            "telephone_number": "703-849-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-698-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "fax_number": "757-388-8871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Woodland St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051208",
            "country_code": "US",
            "telephone_number": "203-426-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6211 Centreville Rd # 400M",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201212641",
            "country_code": "US",
            "telephone_number": "703-204-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101252321",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "82295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467748392",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.