NPIMap

Organization Active NPI

Fairfax Radiological Consultants PC

  • Radiology Clinic/Center
  • Fairfax, VA
National Provider Identifier
1467885228
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Practice address
3801 University Dr
Ste 120
Fairfax, VA 22030-2503
Phone
(703) 698-4467
Fax
(703) 788-8422
NPI assigned
Aug 15, 2013
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FAIRFAX RADIOLOGICAL CONSULTANTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Thomas L Elliott
Title
Ceo
Phone
(703) 698-4444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

3801 University Dr
Ste 120
Fairfax, VA 22030-2503

Mailing address

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060404000840 DC Part B Supplier - Clinic/Group Practice 8628970324 Receives reassigned benefits from 192 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, DC; Reston, VA; Potomac, MD; MC Lean, VA; Lorton, VA; Falls Church, VA; Fairfax, VA; Clarksburg, MD…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fairfax Radiological Co23 organizations share this tax ID, including this one
Part of
Fairfax Radiological Co

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1467885228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4444",
            "fax_number": "703-204-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY DR",
            "address_2": "STE 120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302503",
            "telephone_number": "703-698-4467",
            "fax_number": "703-788-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX RADIOLOGICAL CONSULTANTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRFAX RADIOLOGICAL CONSULTANTS PC",
        "enumeration_date": "2013-08-15",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-698-4444"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.

Verify at the official NPI Registry.