Individual provider Active NPI

Fred J Laine, M.D.

  • Neuroradiology Physician
  • Richmond, VA
National Provider Identifier
1508811670
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
Practice address
2602 Buford Rd
Richmond, VA 23235-3422
Phone
(804) 272-8806
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X VA Primary

Addresses

Primary practice location

2602 Buford Rd
Richmond, VA 23235-3422

Mailing address

12005 Valleybrook Dr
Richmond, VA 23233-1020
Phone (804) 364-0690

Other identifiers 1

IdentifierTypeStateIssuer
7212160MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000854 VA Practitioner - Diagnostic Radiology 9133100878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Richmond IncGroup PAC ID 9830088434, 70 clinicians

Practice addresses (Care Compare)

13636 Hull St Rd
Midlothian, VA 23112-2108
Phone (804) 272-8806

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 272-8806

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 272-8806

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 272-8806

4200 Greybull Dr
Suite 100
Richmond, VA 23233-7555
Phone (804) 272-8806

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (804) 272-8806

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 272-8806

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (804) 272-8806

930 S Ave
Suite 1
Colonial Heights, VA 23834-3620
Phone (804) 272-8806

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101038750VAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Imaging LLC CurrentSince May 1, 2006 Accepting new patients
Radiology Consultants of Lynchburg Inc CurrentSince Jan 1, 2023 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients
Wahoo Radiology, PLLC Past Accepting new patients

Locations

113 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-4004

Organizations & group practices 5

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 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508811670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 VALLEYBROOK DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331020",
            "telephone_number": "804-364-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAINE",
        "first_name": "FRED",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212160",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.