Individual provider Active NPI

Philip E Hanline, M.D.

  • Diagnostic Radiology Physician
  • Blacksburg, VA
National Provider Identifier
1609840792
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101234140 Issued in VA
Practice address
2001 S Main St
Suite 1
Blacksburg, VA 24060-6678
Phone
(540) 951-4992
Fax
(540) 951-0302
NPI assigned
Feb 15, 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
Diagnostic Radiology Physician 2085R0202X 0101234140 VA Primary

Addresses

Primary practice location

2001 S Main St
Suite 1
Blacksburg, VA 24060-6678

Mailing address

2001 S Main St
Suite 1
Blacksburg, VA 24060-6678
Phone (540) 951-4992

Other identifiers 2

IdentifierTypeStateIssuer
061474OtherVAANTHEM
C00735OtherVAMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, HI, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150713003193 OR Practitioner - Diagnostic Radiology 5597856492 Reassigns benefits to 4 organizations
I20171103001323 HI Practitioner - Diagnostic Radiology 5597856492 Reassigns benefits to 1 organization
I20241024004676 AZ Practitioner - Diagnostic Radiology 5597856492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiologists PCGroup PAC ID 4183510902, 16 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

Hood River, OR 97031
Phone (503) 251-6132

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 251-6132

1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-7251

1810 E 19TH St
Suite 209
The Dalles, OR 97058-3388
Phone (541) 296-7251

2910 May St
Hood River, OR 97031-7797
Phone (480) 425-4065

3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5649
Phone (480) 425-5000

551 Lone Pine Blvd
The Dalles, OR 97058-9403
Phone (541) 506-5788

9694 SE Denali Dr
Happy Valley, OR 97086-7308
Phone (503) 251-6855

Hospital & facility affiliations

  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19347HIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiologists PC Diagnostic Radiology CurrentSince Jun 15, 2015 Accepting new patients
Mid-Columbia Medical Center CurrentSince Mar 1, 2021 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Aug 3, 2024 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Sep 16, 2024 Accepting new patients
White Rock Radiology Associates, L.L.P. Diagnostic Radiology Past Accepting new patients
Mid-Columbia Medical Center Family Medicine Past Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology PastSince Jul 1, 2019 Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

9700 N 91st St
Ste C200
Scottsdale, AZ 85258
Phone (480) 425-5078

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Interoperability endpoints

  • Direct secure messaging: phanline113988@direct.ohsu.edu

Organizations & group practices 8

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609840792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606678",
            "telephone_number": "540-951-4992",
            "fax_number": "540-951-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606678",
            "telephone_number": "540-951-4992",
            "fax_number": "540-951-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLINE",
        "first_name": "PHILIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101234140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061474",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C00735",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.