NPIMap

Organization Active NPI

Professional Services of Holy Cross

  • Radiology Clinic/Center
  • Wheaton, MD
National Provider Identifier
1619785078
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PROFESSIONAL SERVICES OF HOLY CROSS
Practice address
11006 Veirs Mill Rd
Wheaton, MD 20902-2582
Phone
(301) 681-4422
NPI assigned
Dec 18, 2024
Organization subpart
Yes
Parent organization
HOLY CROSS HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Julie Keese
Title
VP and Chief Financial Officer
Phone
(301) 754-7201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

11006 Veirs Mill Rd
Wheaton, MD 20902-2582

Mailing address

PO Box 531863
Atlanta, GA 30353-1863
Phone (301) 681-4422

Other names 1

  • Holy Cross Health Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000745 DC Part B Supplier - Clinic/Group Practice 3779516992 Receives reassigned benefits from 283 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheaton, MD; Silver Spring, MD; Rockville, MD; Largo, MD; Montgomery Village, MD; Beltsville, MD; Bethesda, MD; Gaithersburg, MD…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Professional Services of Holy Cross26 organizations share this tax ID, including this one
Part of
Cardio Holy Cross Hosp

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11006 Veirs Mill Rd
Ste L1
Wheaton, MD 20902
Phone (301) 681-4422

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1619785078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531863",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303531863",
            "telephone_number": "301-681-4422",
            "fax_number": "810-547-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11006 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022582",
            "telephone_number": "301-681-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SERVICES OF HOLY CROSS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY CROSS HEALTH, INC.",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "KEESE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP AND CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "301-754-7201"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Health Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.