Individual provider Active NPI

Robert Paul Radin, M.D.

  • Psychiatry Physician
  • Arlington, VA
National Provider Identifier
1538223920
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101029542 Issued in VA
Practice address
4001 9TH St N
Suite 220
Arlington, VA 22203-1956
Phone
(703) 524-1484
Fax
(703) 527-1237
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101029542 VA Primary

Addresses

Primary practice location

4001 9TH St N
Suite 220
Arlington, VA 22203-1956

Mailing address

4001 North 9TH Street
Suite 220
Arlington, VA 22203-1956
Phone (703) 524-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110330000859 DC Practitioner - Psychiatry 5597948471 Practice locations: Arlington, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101029542VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1538223920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 NORTH 9TH STREET",
            "address_2": "SUITE 220",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031956",
            "telephone_number": "703-524-1484",
            "fax_number": "703-527-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 9TH ST N",
            "address_2": "SUITE 220",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031956",
            "telephone_number": "703-524-1484",
            "fax_number": "703-527-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIN",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101029542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.