Individual provider Active NPI

Rend Al-Khalili, M.D

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1487888442
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD043258 Issued in DC
Practice address
3015 Williams Dr
Suite 200
Fairfax, VA 22031-4623
Phone
(703) 641-9133
Fax
(703) 280-5098
NPI assigned
May 6, 2009
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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 MD043258 DC Primary

Addresses

Primary practice location

3015 Williams Dr
Suite 200
Fairfax, VA 22031-4623

Mailing address

3015 Williams Dr # V
Suite 200
Fairfax, VA 22031-4623
Phone (703) 641-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150827001605 DC Practitioner - Diagnostic Radiology 5698990554 Reassigns benefits to 3 organizations
I20171011001004 MD Practitioner - Diagnostic Radiology 5698990554 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1120 20TH St NW
Washington, DC 20036-3406
Phone (202) 748-8830

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043258DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jul 19, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2024 Accepting new patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Sep 6, 2017 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Jul 19, 2017 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jul 25, 2017 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Feb 1, 2022 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Washington Radiology Associates, PLLC Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1120 20th St NW
Washington, DC 20036
Phone (202) 370-1386

1133 21st St NW
Ste 801
Washington, DC 20036
Phone (202) 748-8830

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

5601 Loch Raven Blvd
Ste 206
Baltimore, MD 21239
Phone (410) 464-5600

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5454 Wisconsin Ave
Ste 1100
Chevy Chase, MD 20815
Phone (855) 546-1872

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

840 Crescent Centre Dr
Ste 200
Franklin, TN 37067
Phone 61526123066065

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1487888442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 WILLIAMS DR # V",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314623",
            "telephone_number": "703-641-9133",
            "fax_number": "703-280-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 WILLIAMS DR",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314623",
            "telephone_number": "703-641-9133",
            "fax_number": "703-280-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHALILI",
        "first_name": "REND",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD043258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.