Individual provider Active NPI

Daniel Anthony Dolewski II, M.D.

  • Diagnostic Radiology Physician
  • Newport News, VA
National Provider Identifier
1558505651
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101257120 Issued in VA
Practice address
500 J Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929
Phone
(757) 612-6999
Fax
(757) 867-7547
NPI assigned
Apr 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 0101257120 VA Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929

Mailing address

PO Box 12087
Peninsula Radiological Associates
Newport News, VA 23612-2087
Phone (757) 867-6101

Other practice location 1

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Other identifiers 1

IdentifierTypeStateIssuer
1558505651MedicaidVA

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
I20150922002070 VA Practitioner - Diagnostic Radiology 5092022152 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

22 Edwards Rd
Poquoson, VA 23662-1008
Phone (219) 767-6320

409 Yorkshire Dr
Williamsburg, VA 23185-3946
Phone (219) 757-6320

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089
  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Radiological Associates, Inc. Diagnostic Radiology CurrentSince Sep 9, 2015 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince May 9, 2023 Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince May 6, 2023 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

615 Valley View Dr
Ste 101
Moline, IL 61265
Phone (309) 743-0445

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Organizations & group practices 4

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 5

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1558505651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12087",
            "address_2": "PENINSULA RADIOLOGICAL ASSOCIATES",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236122087",
            "telephone_number": "757-867-6101",
            "fax_number": "757-867-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "address_2": "RIVERSIDE REGIONAL MEDICAL CENTER",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-612-6999",
            "fax_number": "757-867-7547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln",
            "address_2": "Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445347",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEWSKI",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101257120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558505651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.